Online Survey
Tell Us About Your Donation History...
1.
When you first donated blood, how old were you?
Not Sure
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2.
How many times have you donated blood in the past 5 years?
Don't Know
1
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100
3.
Has anyone close to you ever received a blood transfusion?
Don't Know
Yes
No
4.
Have you ever received a blood transfusion?
Don't Know
Yes
No
5.
Have you ever encouraged someone to give blood?
Don't Know
Yes
No
Continue to Page 2
Donation information may not be updated for at least seven days.
