Donor Questionnaire

What is the purpose of the donor questionnaire?

Every time you donate, you’ll complete a confidential donor questionnaire. This helps us assess your general health and lifestyle to ensure it is safe for you to donate and safe for a patient to receive your blood.

If necessary, we may ask you not to donate that day — even a mild cold can temporarily defer you. To avoid a wasted trip, contact us if you have any queries.

 

English (136KB)

Afrikaans (105KB)

Please note: The PDF questionnaire on our website is for viewing only. For safety reasons, all printed questionnaires must be completed at the clinic. You can also complete the donor questionnaire digitally on our website or the WCBS App on the day before visiting the clinic.