Blood Donor Survey



We want to know how we are doing. Please take a moment to give us your feedback on your donation experience.


 
 
 
Your Name
Question 1 2 3 4 5
  1. Courtesy of the Staff 

Poor

Below Average
Average
Above Average
Excellent
  1. Professionalism of Staff 

Poor

Below Average
Average
Above Average
Excellent
  1. Competency of Staff

Poor

Below Average
Average
Above Average
Excellent
  1. Comfort of surroundings

Poor

Below Average
Average
Above Average
Excellent
  1. Comfort of Donation Process 

Poor

Below Average
Average
Above Average
Excellent
  1. Availability of appointments

Poor

Below Average
Average
Above Average
Excellent
  1. Time you had to wait to donate
very long long just right    
  1. How likely are you to give blood again
Not likely Probably Definitely    
The following questions are for our information to help improve our marketing:
How many times do you donate?

 First time donor  1-2 times per year  3-6 times per year
more than 6 times per year    I donate but not yearly

What motivates you or what would motivate you to donate routinely?

Where did you make this donation: At a Blood Drive At UTMB Hospital 
Why did you donate?     
N/A
Telephone call
Post Card 
Flyer
Replacement credit for someone I know who received blood
Friends asked

I was called and scheduled an appt

Blood Drive/Promotion
Other: 

Please tell us about any unpleasant experience.  We want to know so that we can improve our service to you. 
  

If you enjoyed donating, please encourage those you know to donate blood, too. If you would like a response to your comments, please give us your name and address or email.




  Please call the UTMB Blood Center for information and to schedule a blood drive at your school, business, or place of worship.
For more information or to set-up a drive, please call Laurie Hartrick, Donor Recruiter, Blood Collections at 409-772-6551 or llhartri@utmb.edu