QUESTIONNAIRE

BLOOD DRIVE INITIATIVE
QUESTIONNAIRE ON BLOOD DONATION
Dear respondent,
Blood drive initiative is a non-governmental organization whose aim is to provide safe and sustainable blood supply to meet the rising need for blood and blood products in Nigeria. Please, answer these questions honestly as they would help us a great deal in achieving our objectives. Thank you.
NB: THE INFORMATION PROVIDED WILL BE TREATED WITH UTMOST CONFIDENTIALITY.
Age: .....................
Sex: ......................
Occupation: .....................................
PLEASE TICK THE BOX THAT APPLIES THE MOST
1) Have you donated blood before? [a ] yes [ b] no

2) If yes, how many times have you donated? [a ] 1 [b ] 2 [c ] 3 [d ] over 3 [ e ] over 5

3) If no, why have you not donated? [ a] I never thought of it [b ] I am not fit [ c ] I am scared [ d ] I don’t have enough blood [ e ] I’ve never been asked

4) Have you ever donated blood voluntarily (without compulsion or an imminent need)?
[a ] yes [b ] no

5) If yes, how many times have you donated voluntarily (without compulsion or an imminent need)? [ a ] 1 [ b ] 2 [ c ] 3 [ d ] over 3 [e ] over 5

6) Do you donate blood as a habit? [ a ] yes [ b ] no

7) If yes, how often do you donate in a year? [ a ] 1 [ b ] 2 [ c ] 3 [ d ] when the need arises

8) What do you find most scary about blood donation? [ A] the thought of losing blood [ B] the prick from the needle [ C] the size of the needle [ D] the sight of blood

9) What do you find most annoying about the donation exercise? [A ] attitude of the personnel [B ] it takes too long [ C] I am not appreciated

10) What do you find most pleasing about the donation exercise? [A ] the feeling of altruism [B ] the knowledge that I am saving lives [ C] the memento I’m given

11) Would you be encouraged to donate if the exercise were brought to you with a mobile blood bank? [ a ] yes [ b ] no

12) If a local topical anaesthetic (something to take the pain away) is used, do you think more people would donate? [ a] yes [ b ]

13) Would you be encouraged to donate if you were paid in return? [a ] yes [ b ]no

14) Do you think it is right to pay donors? [ a ] yes [ b ] no

15) Are you aware that according to WHO, voluntary non-remunerated donors are the best category of donors? [ a ] yes [ b ] no

16) What things do you think should be in a blood donation centre? [ a ] a comfortable couch [ b ] air conditioning [ c ] some entertainment [ d ] refreshment [ e ]pleasant personnel [ f ] all of the above

17) Do you think the campaign for voluntary blood donors is being rightly publicized? [ a ] yes [ b ] no [ c ] it can be done better

18) What things do you think can be done to improve the attitude of Nigerians towards voluntary blood donation?
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19) Are you a member of any voluntary blood donor organization? If yes, which? ..........................................................................

20) Would you like to be a voluntary blood donor? [ a ]yes [ b ] no

21) If yes, please write down your phone number in the space provided and you will be contacted by BDI. .................................................


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