Blood Donor Satisfaction Questionnaire

Have you donated blood before?

Yes
No

Where did you donate the blood?

At University Hospital Brno
At an off-site blood drive/temporary donation site

Please evaluate the following questions on a scale from 1 to 5, where 1 is the best and 5 is the worst.

1 – Very satisfied, 2 – Satisfied, 3 – Somewhat satisfied, 4 – Dissatisfied, 5 – Very dissatisfied

Please mark only one box per question to indicate your level of satisfaction.

How satisfied were you with the following services of the Transfusion and Tissue Department of University Hospital Brno?

1. Appointment scheduling system (not applicable to temporary donation sites, e.g. workplace, school)

2. Attitude and level of communication of staff:

• in the changing room (not applicable to temporary donation sites):

• at the blood donor registration desk:

• during sample collection:

• in the examination room:

• in the blood collection room:

3. Waiting time:

4. Organization of the blood donation process:

5. Refreshments (not applicable to temporary donation sites):

6. Overall environment of the Transfusion and Tissue Department (not applicable to temporary donation sites):

7. Information for blood donors on the website:

8. What do you find beneficial or interesting about off-site blood drives (not applicable to donations at the Transfusion and Tissue Department)?

9. Your specific comments, suggestions for improvement, or questions:

Would you like to receive a response to your question or suggestion? If yes, please provide your contact information:

E-mail

Phone number

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