The following feedback takes less than 10 minutes, and will greatly assist KPBD to help you better in upcoming events.
Your Mobile Number
Your Blood Group (Required)
Your Age (Required)
Have you ever donated blood? (Required)
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
In either case please specify
Blood Bank Reception
Blood Bank Registration
KPBD Form Filling Support
KPBD Doctors Room Support
KPBD Donation Room Support
Water and Juice
Do you have any comments-concerns you would like to share with KPBD?
KPBD contact with me whenever there is any blood donation appeal