How Did We Do ?

* In what Region / County do you currently donate ?

	Central = Seminole, Orange, Osceola
	North East = Volusia, Brevard, Flagler
	North West = Lake, Sumter, Marion
	South West = Charlotte, Sarasota, Highlands, Lee, Hardee
	South East = Palm Beach, Martin, St.Lucie, Glades, Hendry, Okeechobee
	South = Broward, Miami-Dade

* Where do you seem to find yourself donating most often ?

	Branch Location
	Mobile Location
	On-location / In-house setup

* What type of HERO are you to the community ?

	First Time Donor
	1 to 8 donations (one gallon or less)
	Multi-gallon Donor
	Automated Apheresis Donor


	4. * What is your age range ?

* What was the "main motivation" that brought you in to donate ?

	Current gifts or promotions offered. (discount coupons or tickets, certificates, gift cards, t-shirts, etc)
	Phone call or message received. (promotions offered)
	Phone call, message, or reminder received. (no promotions offered)
	Media related request, appeal or event. (television, radio, newspaper, etc.)
	Regular donor, no gifts wanted, needed or required, only donate to save lives.
	Other:

* How would you rate your registration process and wait time ?

Poor	Fair	Average	Good	Excellent
1	2	3	4	5

* How would you rate your satisfaction with our confidential health screening process ?

Poor	Fair	Average	Good	Excellent
1	2	3	4	5

* How would you rate your satisfaction with the phlebotomy stage of the donation process ? (insertion of the needle)

Poor	Fair	Average	Good	Excellent
1	2	3	4	5

* Overall, did you find our staff to be approachable, friendly, responsive, and efficient ?

Poor	Fair	Average	Good	Excellent
1	2	3	4	5

10.

* Overall, did you find our staff to be knowledgeable, professional, skilled, and well-organized ?

Poor	Fair	Average	Good	Excellent
1	2	3	4	5

11.

* Did you find our mobile/branch to be clean, comfortable and meeting all your expectations ?

Poor	Fair	Average	Good	Excellent
1	2	3	4	5

12.

* How well were you educated about your specific blood type and how your donation will touch the community ?

Poor	Fair	Average	Good	Excellent
1	2	3	4	5

13.

* How would you rate our donor incentives/rewards/promotional programs ? (tickets, discount coupons, t-shirts, gift cards, etc.)

Poor	Fair	Average	Good	Excellent
1	2	3	4	5

14.

* Please rate how well we made you feel valued/appreciated for your dedication as a HERO and invited to return ?

Poor	Fair	Average	Good	Excellent
1	2	3	4	5

15.

* Would you encourage someone (friend, family, or other) to become a HERO to the community ?

No Chance	Unlikely	Maybe	Most Likely	Absolutely
1	2	3	4	5

16.

* Have you ever visited our web page before ?

	Yes
	No

17.

Your input is very important to us!

Please provide us with your contact information below, we may need to contact you regarding your experience.

We keep all information confidential.

Name
Company
Address 1
Address 2
City
State
Zip
Email Address


	We appreciate you completing our online survey. If you have any thoughts, ideas or suggestions how we could improve our service to you or the community in the future, or if immediate attention is required regarding your experience, please contact Customer Care at 1-888-936-6283 (x5082 or x5472) or via-email at CustomerCare@floridasbloodcenters.org Thank you for being a HERO !