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Donor Survey: Customer Service
The way we can best show how much we appreciate your blood donation is by treating you like the very special person you are.  The Blood Bank of Alaska staff works very hard to make your donation a pleasant and satisfying experience.  We hope we succeed, but there are those times when doing things differently could improve your experience.

First Name
 Last Name
Email
 Contact Phone Number
I donated blood recently at:








Enter the appropriate answer:

1. When you first entered the building or mobile offsite, did someone greet you?

2. Where you registered within a reasonable amount of time? 

2.1 If not, did someone on our team recognize you and describe the circumstances?

3. Upon completion of the DHF (Donor History Form), were you taken to the screening room within a reasonable amount of time?

4. Was the mini physical performed in a professional manner?

5. Was the finger stick done well?

6. Were you escorted from the screening room to the phlebotomy area?

7. Did the phlebotomist acknowledge you?

8. Was the phlebotomist professional and attentive to your needs?

9. Was the phlebotomy done well?

10. Was the refreshments area clean and well stocked?

11. Were you thanked for your donation?

12. Were you asked to schedule your next donation?

Rate the following statements:

13.1 The phone caller who contacted you was helpful, courteous, and knowledgeable.





13.2 The registration clerk was helpful, courteous, and knowledgeable.





13.3 The screener was professional, courteous, and knowledgeable.





13.4 The phlebotomist was professional, courteous, and knowledgeable.





13.5 The donation process was efficient given the circumstances.





All in all, how good of a job would you say is being done?

14.1 Phone Call?







14.2 Registration






14.3 Screening?






14.4 Phlebotomy?






14.5 Blood Bank of Alaska?






Comments and/or Suggestions:
 

Thank you for giving the Gift of Life and for filling out this questionnaire.

Providing your contact information on our web implies your consent that we can use the contact information you provide in order to get in touch with you via e-mail or telephone. We respect your privacy and we will not share your information.
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