PlasmaSource Post-Donation Survey

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Help us tailor our outreach efforts by completing our quick demographics survey. Your insight is essential in making our donor experience even better.

Demographics

Are you of Hispanic, Latino or of Spanish origin?

How would you describe yourself?

American Indian or Alaskan Native
Asian / Pacific Islander
Black or African American
Hispanic
White / Caucasian
Multiple / Other

Which of the following best describes your personal income last year?

$0-$30,000
$31,000 - $60,000
$61,000-$90,000
$91,000-$120,000
Over $120,000

What is the highest level of education you have completed?

Some high school
GED or HS Diploma
Some College
Associate Degree
Bachelor’s Degree
Master’s Degree
Professional Degree
Doctorate Degree

What platform prompted you to schedule an appt today?

Google Ad
Facebook Ad
Personal Internet Search
Word of Mouth
Billboard
Saw a sign/flyer
Physical location
Other
Donor Referral
Spotify Ad

What motivated you to give today?

Monetary incentive
Personal Connection
Heard there was a need
Curiosity
To help others
Location of center

About your visit

When you entered our center, were you greeted by a team member?

Were the team members helpful and courteous?

Were you well informed about the process?

Did you receive appreciation/gratitude from one or more team members?

Were you satisfied with your experience today?

Will you be back again?

Will you recommend PlasmaSource to friends and family?

Additional Feedback and Comments

What made us stand out?

What can we do better?

We would appreciate knowing about anything else you want to share…

Your compassionate heart has the power to change lives! We need your help to support patients in need by donating plasma. By giving just a small portion of your time, you can make a significant impact and bring hope to those battling critical illnesses.

4490 E New York St, Aurora IL 60504
847-260-2668