GF Donor Survey Donor Survey Donation LocationsWhere are you donating today?*LaurelDiamondFairbanksMobileDate* Date Format: MM slash DD slash YYYY Donor DemographicsSex*MaleFemaleAge*Under 1818-2425-3435-4445-5455+Ethnicity*WhiteHispanicAfrican AmericanAlaskan NativeAsianOtherZipTell Us About Your ExpericenceOn a scale from 1 to 5 (5 being the best) please rate the following components of your blood donation experience at Blood Bank of Alaska.. The way you were greeted by staff12345The way you were treated by staff12345Professional level of staff during screening12345The skill level of our staff- Phlebotomy12345Cleanliness of our location center/coach12345Your overall donation experience12345Did you have an appointment?*YesNoHow long did you have to wait?*15 minutes30 minutesMoreIs this your first time donating?*YesNoHow many times a year do you donate?*12345moreHave you or someone you know received a blood transfusion?*YesNoWhat motivated you to donate today?*FriendsWorkAdvertisementCivic DutyHelping OthersOtherWhat is the biggest obstacle to overcome when trying to donate blood?*TimeFearFinding a LocationHealth QuestionsConcerns About Usage of BloodOtherWill your company or place of worship sponsor a blood drive?*YesNoAlready DoesHow did you hear about Blood Bank of Alaska?*TVRadioNewspapersWebsiteWord of MouthWorkSocial MediaOtherComments/Suggestions This iframe contains the logic required to handle Ajax powered Gravity Forms.