Basic Information:
Date:
Location:
Initiated by:
Executed by:
Blood Bank Participated:
Number of People Expected:
Number of People Attended:
Units Collected:
Number of People Deferred:
Number of Technicians:
Occasion: General
Number of staff:
Volunteers :( Name, Role, Special Service, Initiative, Teamwork, Productivity, Potential, Responsiveness)
Contact mail:
Contact Number:
Feedback: (better if accompanied with a good photograph)
Donor feedback:
Post Donation Problems:
First Time Donors:
Myth Clarified:
Recommend to Others:
Satisfaction Level(with respect to arrangement):
Suggestions and Complains:
Volunteer Feedback:
Problems Faced:
Recommendations for Improvement:
Experiences to Share:
Confidence and Self Assessment:
Complains:
Publicity:
Methods Used:
Success Story:
Failure Story:
Suggestions:
Material Send Including Mails:
Blood Bank review
Quality:
Testing:
HB%:
Weight:
Questionnaire:
General Health Questions:
Sterile Conditions:
Technicians:
Infrastructure:
Motivation:
Punctuality:
Responsiveness to Requests:
Other Help Extended:
Donor Certificate:
Company Certificate:
Name:
Contact Number:
Overall
Good things about this camp:
Bad things about this camp:
Post donation problems
Did anyone face post donation problem:
Nature of problem:
Care offered:
Feedback Post Rectification of Problem from the Donor:
Educational Efforts:
Myths Removed:
Methods Used:
Were Donors Counseled: