Quiz

Question 1 of 16

Are you aged between 17 and 66 years old or an existing donor? If you are aged 70 or older, have you successfully donated within the last two years?

Yes No

Question 2 of 16

Do you weigh over 50kg (7st 12lbs)?

Yes No

Question 3 of 16

If you are male, have you given blood in the past 12 weeks (limited to 4 donations a year)? If you are female, have you given blood in the past 16 weeks (limited to 3 donations a year)?

Yes No

Question 4 of 16

Have you had any vaccinations in the last 8 weeks (excluding a flu vaccination)?

Yes No

Question 5 of 16

Have you received a blood transfusion or transplanted material (whole blood, platelets or plasma) since 1st January 1980?

Yes No

Question 6 of 16

In the past 4 months have you had a needlestick or other injury or any treatment that involved piercing of the skin e.g. Tattoo, piercing, acupuncture, complementary therapy?

Yes No

Question 7 of 16

Have you been pregnant in the last 6 months or are you pregnant now?

Yes No

Question 8 of 16

Have you had dental treatment in the last 7 days?

Yes No

Question 9 of 16

Have you ever been diagnosed with a serious illness e.g. Cancer, HIV, Heart Condition, Stroke, or Epilepsy?

Yes No

Question 10 of 16

Are you waiting to see a doctor, dentist, or any type of healthcare person or awaiting results of investigations?

Yes No

Question 11 of 16

Have you had an endoscopy (magic eye) in the last 4 months?

Yes No

Question 12 of 16

Have you taken any medication in the last 7 days (except HRT, the pill or other birth control)?

Yes No

Question 13 of 16

Have you been in contact with anyone with an infectious disease in the last 4 weeks? (For contact with Hepatitis in the last 6 months please call for advice)

Yes No

Question 14 of 16

Have you travelled outside of the UK in the last 12 months or ever lived abroad for more than 6 months?

Yes No

Question 15 of 16

Have you ever had syphilis?

Yes No

Question 16 of 16

In the last 3 months have you had: a) a new sexual partner? b) a sexually transmitted disease? c) Sex using stimulant drugs to enhance the sexual experience (excluding cannabis, alcohol and viagra)?

Yes No

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Quiz

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