Health History Questionnaire

It takes about 10 minutes to answer the yes/no health history questions. Taking the health history questionnaire online may save you about 20 minutes at the blood drive or blood center collection site. This can only be done the day of your donation!

Important Note: Please read the following documents prior to beginning the online Health History questionnaire.

  • Instructions to Complete Online Health History Questionnaire
  • Frequently Asked Questions

Please be sure to complete the questionnaire in a private setting which assures confidentiality.

The questionnaire must be completed after 1 A.M. on the same day as your donation.