30 Nov 18 2020-04-28T16:59:17+00:00
Kuwiat Pakistan Blood Donors

    The following feedback takes less than 10 minutes, and will greatly assist KPBD to help you better in upcoming events.

    Your Name

    Your Email

    Your Mobile Number

    Your Gender
    MaleFemale

    Your Blood Group (Required)
    A+A-B+B-AB+AB-O+O-Don't Know

    Your Age (Required)

    Have you ever donated blood? (Required)
    YesNo

    If yes, how many times within the last 2 years? If no, proceed to next question.

    What prompted you to donate blood? (Required)
    Emergency call for blood donationTo ensure that blood would be there if you or a loved one ever neededCommunity support

    Other (please specify)

    On a scale of 1-5 where 1 = "Completely Disliked" and 5 = "Completely Liked", please indicate your level of Dislike or Like with the following statement.

    Do you satisfy from KPBD
    YesNo

    In either case please specify

    KPBD Reception
    12345

    KPBD Registration
    12345

    Blood Bank Reception
    12345

    Blood Bank Registration
    12345

    KPBD Form Filling Support
    12345

    KPBD Doctors Room Support
    12345

    KPBD Donation Room Support
    12345

    Certificate Distribution
    12345

    Food
    12345

    Water and Juice
    12345

    Media
    12345

    Do you have any comments-concerns you would like to share with KPBD?

    KPBD contact with me whenever there is any blood donation appeal
    YesNo