Are you healthy today?

Do you get adequate sleep yesterday?

Have you donate blood in past 3 months?

Do you have any skin infection?

Do you have any respiratory ailments?

Are you under medication for Fits?

Major Surgery (Within last 3 months)

Organ Transplant (Within 1 year)

In the past three days do you have a tooth extraction or extensive dental operation?

Do you suffer from following diseases?

[Hypertension, Diabetes, Epilepsy, Typhoid, Chickenpox, Malaria, Tuberculosis, Jaundice, Cancer, Heart Disease, Abnormal bleeding tendency, Kidney disease]

Are you taking or have taken any of these in past 48 hrs?

In the last 6 months have experienced any of the following?

For female donors only?