Your Blood Drive: How Did We Do?

The American Red Cross strives for excellence at each of our blood drives. This form is designed for people who organize drives, such as yourself, to help us evaluate many of the factors that contribute to the success of your blood drives. Please rate the following statements on a scale from 5 (Agree Strongly) to 1 (Disagree Strongly).

Item 5 Agree Strongly 4 Agree 3 No Opinion 2 Disagree 1 Disagree Strongly We clearly explained your role and responsibilities as the blood drive coordinator. The drive occurred at the agreed date and time. Before the drive, we offered timely answers to your questions and concerns. The recruitment materials we supplied were useful and offered in a timely fashion. We provided an adequate supply of recruitment materials. At the blood drive, donors were processed in a smooth and timely fashion. After the drive, we left the facility in good condition. The blood collection staff members were courteous and friendly. Overall, I would give this blood drive an excellent rating.

Can we do anything to improve our service to you? Please let us know.

We appreciate your comments on any "Disagree" or "Disagree Strongly" ratings, and please feel free to share any other comments you have.

Please let us know who you are! Please tell us the name of your group:

Please give us your group's street address with city, state, and ZIP code:

Please tell us the date of the drive for which you have provided feedback:

If you so desire, please give us a phone number at which we can contact you:

Finally, if you desire, please give us an email address at which we may contact you:

When would you be willing to sponsor another blood drive?

Thank you for your feedback!