Your Name:
Your Email:
Overall, how satisfied were you with your experience? Very Satisfied Satisfied Neutral Unsatisfied Very Unsatisfied
Would you recommend our services to someone interested in becoming a donor? Definitely Probably Not Sure Probably Not Definitely Not
Would you consider being a donor with us in the future? Definitely Probably Not Sure Probably Not Definitely Not No Plans To Donate Again
How many times have you been a donor with us? 1 2 3 4 5
How many times have you been a donor with another agency or individual? 1 2 3 4 5
What aspect of your experience with us were you most satisfied by?
What aspect of your experience with us would you say needs the most improvement?
What did you like most about being a donor?
What did you like least about being a donor?
In regards to similar services offered by other companies, how would you compare our services? Much Better Somewhat Better Neutral Somewhat Worse Much Worse Not Applicable
Do you have any objections to us using your first name and comments in our marketing? Yes No
