Date of Blood Drive:
Sponsor / Organization:
Name:
Email Address:
For this blood drive, I was:	the Primary Chairperson the Recruitment Chairperson an Assisting Volunteer a Donor Other
As a chairperson, I consider my blood drive experience level to be:	... NEW - 1 blood drive: my first! NOVICE - 2-4 blood drives: I'm getting the hang of it! SKILLED - 5-9 blood drives: I understand the process! EXPERT - 10-14 blood drives: I am confident and here for you! MASTER - 15+ blood drives: Let me show you how to do this!
My BBA Coordinator for this blood drive was:
I received my donor recruitment materials ____ before our blood drive.	... 4+ weeks 3 weeks less than 2 weeks
I received ______ quality of assistance in the PLANNING stages for our blood drive from my BBA Coordinator.	... excellent adequate poor
I received ________ COMMUNICATION throughout my blood drive campaign from my BBA Coordinator.	... excellent adequate poor
I received ______ quality of assistance in the RECRUITMENT effort for our blood drive from my BBA Coordinator.	... excellent adequate poor
For our next blood drive, I:	... look forward to working with my BBA Coordinator again! wish to work with a different BBA Coordinator.
Would you like to be contacted by BBA management concerning your blood drive experience?	... YES NO
Comments/Suggestions: - What did/didn't you like? - What would you change? - What was your overall experience?

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