New Donor Survey - Rockville

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* 1. Are you aware of our Refer-a-friend Program?

YES

NO

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* 2. How likely is it that you would recommend StemExpress to a friend or family member?

NOT AT ALL LIKELY

EXTREMELY LIKELY

0

1

2

3

4

5

6

7

8

9

10

0

1

2

3

4

5

6

7

8

9

10

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* 3. Was it easy to schedule your appointment?

YES

NO

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* 4. Are you willing to come back to StemExpress for another appointment?

YES

NO

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* 5. Did you have any questions that were not answered during your visit?

YES

NO

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* 6. If yes, list below

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* 7. Could we have improved anything about your visit?

YES

NO

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* 8. If yes, list below

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* 9. If you have any feedback, comments or compliments for our staff, please leave it below.