DONATE

Complete Your bexWISE Xpress Health History Questionnaire Online

It takes only about 10 minutes to answer the yes/no health history questions.
bexWISE Xpress may save you about 20 minutes at the blood drive or blood center.

Important Note: Please read the following instructions prior to beginning the bexWISE Xpress Health History questionnaire. The instructions will aid in completion of the questionnaire so it is important you read them in their entirety. Please be sure to complete the questionnaire in a private setting which assures confidentiality. The questionnaire must be completed on the same day as your donation.

• Information and Instructions for Your Blood Donation
• Medication Deferral List
• Use of Donor Information and Blood Samples in Research
• Process for Receiving Text/SMS About Your Donation

If you have questions about using the DonorExpress Health History questionnaire, please call 201-251-3703 or view our FAQs.

I have read the materials and agree to answer the questions in a confidential setting.