ARC Blood Donation Survey

Please take five minutes to complete the survey below regarding blood donations. All answers will remain confidential. Thank you for your participation.

1. Gender?

Gender? Female

Male

2. Age Group

Age Group 18-24

25-34

35-44

45-54

55-64

65+

3. Educational Level

Educational Level Some High School

High School Graduate

Currently in College

Associates Degree

Bachelors Degree

Masters Degree

4. I donate blood

I donate blood Every Few Months

Once a Year

Never

Other (please specify)

5. The Reason I Give Blood (Choose up to 3 answers):

The Reason I Give Blood (Choose up to 3 answers): I Have Received Blood Friend/Family Needed Blood To Volunteer and Help Others	A Blood Drive was Held at Work/School Convenience Natural Disaster
Other (please specify)

6. Are You Aware That There Is Always An Insufficient Supply Of Blood In Blood Banks?

Are You Aware That There Is Always An Insufficient Supply Of Blood In Blood Banks? Yes

7. What Incentives Would Entice You to Give Blood More Often (choose up to 3 answers):

What Incentives Would Entice You to Give Blood More Often (choose up to 3 answers): Convenient Location Free T-Shirt Free Pizza Certificate Chance to Win an I-Pod or Gas Card	Chance to Win a Travel Package Convenient Locations Convenient Times Recognition in Local Paper
Other (please specify)

8. What is Your Opinion of the American Red Cross Blood Drives?

	Yes	No	I Don't Know
Happy With Prior Blood Donation Experience	What is Your Opinion of the American Red Cross Blood Drives? Happy With Prior Blood Donation Experience Yes	Happy With Prior Blood Donation Experience No	Happy With Prior Blood Donation Experience I Don't Know
Unhappy With Prior Blood Donation Experience	Unhappy With Prior Blood Donation Experience Yes	Unhappy With Prior Blood Donation Experience No	Unhappy With Prior Blood Donation Experience I Don't Know
Blood Donation Events Need More Exposure/Marketing	Blood Donation Events Need More Exposure/Marketing Yes	Blood Donation Events Need More Exposure/Marketing No	Blood Donation Events Need More Exposure/Marketing I Don't Know
The American Red Cross Needs a Friendlier Staff	The American Red Cross Needs a Friendlier Staff Yes	The American Red Cross Needs a Friendlier Staff No	The American Red Cross Needs a Friendlier Staff I Don't Know
American Red Cross Should Provide Donor Incentives	American Red Cross Should Provide Donor Incentives Yes	American Red Cross Should Provide Donor Incentives No	American Red Cross Should Provide Donor Incentives I Don't Know

Other (please specify)

9. What Is The Number One Thing You Would Do To Increase Blood Donations?

What Is The Number One Thing You Would Do To Increase Blood Donations?

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Blood Donation Survey