Donor Testing Survey

1.
Do you collect your own donor blood?
Yes   No    (If yes, please answer the following questions.)

2.
What is your annual donor volume?

3.
Please check the type(s) of donors you collect at your institution.
Allogeneic   Autologous   Therapeutic  

4.
What percentage of your testing do you send to an outside contractor?
0%   1-10%   11-50%   51-90%   91-100%  

5.
Where do you send testing?
Hospital   Blood Center   Other  

6.
Please rate the importance of the following aspects of donor testing at your institution from 1-3.
(1=most important, 3=least important)

Cost
1   2   3  
Turn-Around Time
1   2   3  
Customer Service
1   2   3  

7.
Would you be interested in more information on our donor testing services?
Yes   No    (If yes, please provide information below.)