Requirements

Before You Use Donor EXPRESS

Carefully verify all computer set-up notes below BEFORE YOU PROCEED to make this questionnaire work for you:

1) If you use Internet Explorer, you will likely need to add obi.org in your Compatibility View settings.  Click here for step-by-step instructions.

2) Your computer must have

• Internet Explorer 6.0 or Mozilla Firefox 3.0 or newer.  Donor EXPRESS will not work on older versions.
• The latest version of Adobe Reader with in-browser plug-ins and pop-ups enabled. Download a free copy here.
• A laser or high quality ink jet printer for printing the completed questionnaire. The bar code and other type must be able to be clearly read on your printed page.  Click here for information.

3)  Donor EXPRESS does not work

• On a Mac, Google Chrome or mobile device/cell phone.
• If your computer updated (often automatically) to Internet Explorer 11, and you have not added obi.org to your Compatibility View settings.  Click here for step-by-step instructions.

If you are not able to get Donor EXPRESS to work, please come in to donate anyway!  Your blood donation is needed, and you will be able to answer the questionnaire when you arrive. 

Be Sure To:

• Scroll down the page to answer the questions.
• Review and verify your responses.
• Print your Donor EXPRESS form and bring it and a photo ID when you come in to donate. The form will contain your name, date of birth and a series of bar codes that encode your responses to the pre-donation health questionnaire. Your answers online are not stored or transmitted to your donor record.

All boxes must be checked to enable the “Start Questionnaire” button.

Let’s get started! Please verify:

First Name *

* Please enter your first name.

Last Name *

* Please enter your last name.

Birthdate (mo/da/year) *

* Please enter your birthdate.

Gender * Male Female

* Please select your gender.

*

I am completing this questionnaire on the day of my blood donation.

* The questionnaire must be completed the same day as your donation.

Donor EXPRESS can only be used after 12:01 a.m. on the EXACT day you plan to give.

*

I am in a private setting and will answer the questions without input from anyone else.

* The questionnaire must be accurately completed by only you.

You will be able to review and change your answers, if necessary, as you complete the health history. If some questions are not answered, the form cannot be used.

*

I have reviewed the list of blood donor educational materials and am prepared to answer a question regarding it.

* The donor education materials will be needed during the questionnaire.

The blood donor educational materials will be referred to during the questionnaire. Clicking the box or the blue link will open these materials in a new window. Please do not close the window until you have completed the questionnaire.

*

I have reviewed the list of medications/countries and am prepared to answer a question regarding it.

* The medication / countries list will be needed during the questionnaire.

The medication / countries list will be referred to during the questionnaire. Clicking the box or the blue link will open these materials in a new window. Please do not close the window until you have completed the questionnaire.

* Required Field

Your responses are not saved.
You may be required to answer a question again.

Donor Express

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