Blood Donor Center Satisfaction Survey Blood Donor Center Satisfaction Survey Thank you very much for your recent donation to Children's Hospital Boston's Blood Donor Center. In order for us to exceed your expectations, we hope that you will please take a few minutes to complete this survey. Your comments are essential in helping us to maintain our high standards and will enable us to go above and beyond. *Denotes Required Field Your donation Was this your first time donating blood?* Yes No Was this your first time donating blood at Children's Hospital Boston?* Yes No If this was not your first time donating blood, how many times a year (on average) do you donate? 1  2  3  4  5  6  more than 6  What type of donation did you give this most recent time?* Whole Blood  Platelets  Red Blood Cells  Please select all those which you have donated in the past. Whole Blood  Platelets  Red Blood Cells  Please tell us about yourself I am a:* CHB employee Friend of a patient Family member of a patient College/University student in the area Work in the Boston area Live in the Boston area Other  How did you first hear about the Blood Donor Center at Children's Hospital Boston?* (Please check all that apply) Lobby screen Elevator sign Cafeteria advertisement - small signs on tables Sign outside of the door to our Blood Donor Center Small Talk (CHB Employee communication) CHB Employee Magazine Website Bloodmobile New hire email Billboard Mailing - postcard/flyer/letter Directed donation Other   What motivates/prompts you to come to Children's Hospital Boston's Blood Donor Center?* (Please check all that apply) Family/friend of patient A clinical appointment at CHB An employee event/challenge A sign or advertisement A friend who donates brought me with him/her Promotion/Gift/Raffle Free parking An email from the BDC A phone call from the BDC A mailer or letter from the BDC Other   I feel that it is important that I receive a gift from Children's Hospital Boston's Blood Donor Center after donating blood.* Strongly Disagree  Disagree  Neither agree nor disagree  Agree  Strongly Agree  During your recent visit Did a member of our staff inform you about the different types of donations offered?* i.e. Platelets, Double Red Cells No  Yes, but I donated whole blood  Yes, and I donated platelets  Yes, and I donated double red cells  Please rate the following on a scale of 1-6: (1 poor, 6 excellent) The physical environment of our Blood Donor Center:* 1  2  3  4  5  6  The person at the front desk who checked you in:* 1  2  3  4  5  6  The person who took your donor health history:* 1  2  3  4  5  6  The level of respect you experienced at our Blood Donor Center:* 1  2  3  4  5  6  The level of skill of the person who drew your blood:* 1  2  3  4  5  6  The level of appreciation given to you by the Blood Donor Center staff:* 1  2  3  4  5  6  Would you donate at Children's Hospital Boston's Blood Donor Center in the future?* Yes No If not, please tell us why: Please answer the following What is/are the best way(s) to contact you to dontate blood?* (Please check all that apply) Reminder phone call Reminder email Informational mailer Blood need phone call Blood need email Website Signage in the hospital Promotions: i.e. giveaways and raffles Other   What are the best days of the week for you to Children's Hospital Boston's Blood Donor Center to donate?* Sunday Monday Tuesday Wednesday Thursday Friday Saturday What is the best time of the day for you to donate at our Blood Donor Center?* Weekdays: Early morning (7 am - 9 am) Late morning (9 am - 12 pm) Lunch time (12 pm - 3 pm) Late afternoon (3 pm - 6 pm) Evening (6 pm - 9 pm) None What is the best time of the day for you to donate at our Blood Donor Center?* Weekends: Early morning (7 am - 9 am) Late morning (9 am - 12 pm) Lunch time (12 pm - 3 pm) Late afternoon (3 pm - 6 pm) Evening (6 pm - 9 pm) None Additional comments Please feel free to provide us with additional comments. Thank you very much for your help! Copyright © 2012 Children's Hospital Boston