Sorry we missed you! Thank you for taking time to answer a few questions about why you weren’t able to make your scheduled appointment. This will help us make the donation process better in the future! Your name*(First and last name) Your email address* Your phone number(Optional) What was your appointment for?*This helps us to reschedule you properly in the future. Blood Donation at a Donor Center Blood Donation at a Mobile Drive Platelet Donation Double Red Cell Donation Clinical / Therapeutic Appointment Convalescent Plasma Why did you cancel your appointment? Didn't feel well enough to donate Got called into work / schedule changed Family member sick Other reason: Do you plan to reschedule your appointment? Yes, and soon! Yes, eventually Maybe No Is there anything that would make it easier for you to donate in the future? Earlier appointments Later appointments Location closer to my home / office Other reason: Anything else you'd like to tell us? Thanks again for taking time to complete this survey! PhoneThis field is for validation purposes and should be left unchanged. Δ
