Miller-Keystone

Home * Where Are We Located? * Contact Us
Latest News * Hospitals/Regions We Serve
En Español

Scheduling A Donation Planning A Blood Drive What To Expect When You Donate Blood Blood Donations & Services Automated Collections- Double Red Cell Collections Donor Eligibility			Blood and Your Cholesterol Your Iron and Blood Donations Frequently Asked Questions Top Ten Excuses For Not Donating Blood Blood Facts Donor Confidentiality Complete Our Donor Survey After Your Donation
Professional Staff Board of Directors Our Mission Licenses & Memberships	Job Opportunities Volunteer Opportunities Fundraising Special Events Fund Development	Donor Testing Services Donor Special Events Recruitment Ideas Media Events/Links Community Partners		Milestones MKBC Newsletter Annual Report Blood Coding & Reimbursement

Where Are We Today?

Thank You For Donating Blood!

In order to ensure that we are providing a comfortable and pleasant experience for our donors, please complete this brief survey after your blood donation appointment. Thank you!

Date of your Donation:

Blood Drive/Site Location:

1. What motivated you to donate today?

1a. If you answered "I saw an advertisement." was it:

1b. If you answered "I was asked by MKBC Staff." was it:

2. At the time of donation, approximately how long did you wait before screening?

3. Did our staff say hello, and greet you with a smile?
Yes No

4. Did the staff make you feel comfortable at registration? Yes No

5. Did our screening staff speak in a clear and confidential manner? Yes No

6. Did the person who drew your blood introduce him/her self and call you by name? Yes No

7. Did our staff members satisfy any questions or concerns you might have had? Yes No

8. Did our staff tending to you make you feel appreciated? Yes No

9. Overall, did our staff members perform their jobs in a professional and competent manner? Yes No

10. Based on this experience, would you donate blood again? Yes No
If no, please explain further

11. Overall, how did we do today, and where do we need to improve?

Name (optional):

Email (optional):

Would you like us to contact you to discuss any of your responses? (if yes, please be sure to include either your email or telephone number above!)
Yes No

ISO 9001:2000

FM 57743
Miller-Keystone Blood Center
Sole Supplier of Blood to Northampton, Lehigh, Berks, Carbon, Upper Bucks and Upper Montgomery (PA), and Warren (NJ) counties.

An Independent, Not-For-Profit
501(c)3 community organization,
Miller-Keystone Blood Center is an
an affiliate of Hospital Central Services, Inc.
Hospital Central Services, Inc.