UBS_Questionnaire_Autofill
Fast Track Health History Questionnaire Online
The claim by United Blood Services is that the "Fast Track Health History Questionnaire" takes only 10 minutes. Let's make it faster. Let's make it take only 30 seconds or less!
Claim:
It takes only about 10 minutes to answer the yes/no health history questions. Fast Track will save you about 20 minutes at the blood drive or blood center.
Rationale for created this script:
The questions become monotonous and some questions should only be asked once or not at all.
Dependencies:
pip install requests
Done:
Ask donor for First Name, Last Name, Male/Female, DOB.
ToDo:
Download required reading material PDFs and compare them to the previous download.
Alert the donor if the materials have changed.
Start survey just after opening the webpage from email.
Check "I've read the materials". Click Continue
New tab opens, Click Continue again.
Fill in name, gender, and DOB. Click Continue
Determine if the page has changed. Questions added/removed?
If only removed, answer questions.
Answer the questions
Are you feeling healthy and well today?
Are you currently taking an antibiotic?
Are you currently taking any other medication for an infection?
For the next question, refer to the Medication Deferral List
Have you taken any medications on the Medication Deferral List in the time frames indicated? (Review the Medication Deferral List.)
Have you read the educational materials today?
In the past 48 hours, have you taken aspirin or anything that has aspirin in it?
In the past 8 weeks, have you donated blood, platelets, or plasma?
In the past 8 weeks, have you had any vaccinations or other shots?
In the past 8 weeks, have you had contact with someone who was vaccinated for smallpox in the past 8 weeks?
In the past 16 weeks, have you donated a double unit of red cells using an apheresis machine?
In the past 12 months, have you had a blood transfusion?
In the past 12 months, have you had a transplant such as organ, tissue, or bone marrow?
In the past 12 months, have you had a graft such as bone or skin?
In the past 12 months, have you come into contact with someone else's blood?
In the past 12 months, have you had an accidental needle stick?
In the past 12 months, have you had sexual contact with anyone who has HIV/AIDS or has had a positive test for the HIV/AIDS virus?
In the past 12 months, have you had sexual contact with a prostitute or anyone else who takes money or drugs or other payment for sex?
In the past 12 months, have you had sexual contact with anyone who has ever used needles to take drugs or steroids, or anything not prescribed by their doctor?
In the past 12 months, have you had sexual contact with another male?
In the past 12 months, have you had sexual contact with a person who has hepatitis?
In the past 12 months, have you lived with a person who has hepatitis?
In the past 12 months, have you had a tattoo?
In the past 12 months, have you had ear or body piercing?
In the past 12 months, have you had or been treated for syphilis or gonorrhea?
In the past 12 months, have you been in juvenile detention, lockup, jail, or prison for more than 72 consecutive hours?
In the past 3 years, have you been outside the United States or Canada?
For the next question, United Kingdom (UK) includes: England, Northern Ireland, Scotland, Wales, Isle of Man, Channel Islands, Gibraltar, Falkland Islands.
From 1980 through 1996, did you spend time that adds up to 3 months or more in the United Kingdom? (Review list of countries in the UK.)
From 1980 through 1996, were you a member of the U.S. military, a civilian military employee, or a dependent of a member of the U.S. military?
Refer to list of countries considered to be in Europe.
From 1980 to the present, did you spend time that adds up to 5 years or more in Europe? (Review list of countries in Europe.)
For the next question, United Kingdom (UK) includes: England, Northern Ireland, Scotland, Wales, Isle of Man, Channel Islands, Gibraltar, Falkland Islands
From 1980 to the present, did you receive a blood transfusion in the United Kingdom or France? (Review country lists.)
The following new question(s) were introduced August 28, 2016.
Have you ever been pregnant or are you pregnant now?
Have you ever had a positive test for the HIV/AIDS virus?
Have you ever used needles to take drugs, steroids, or anything not prescribed by your doctor?
Have you ever received money, drugs, or other payment for sex?
Have you ever had malaria?
Have you ever had Chagas disease?
Have you ever had babesiosis?
Have you ever received a dura mater (or brain covering) graft or xenotransplantation product?
Have you ever had any type of cancer, including leukemia?
Have you ever had any problems with your heart or lungs?
Have you ever had a bleeding condition or a blood disease?
Have any of your relatives had Creutzfeldt-Jakob disease?
Is this the first time that you have ever given blood?
Has your doctor told you that you need to donate blood because you have hereditary hemochromatosis or because you are taking prescription testosterone?
Click Finish & email ticket.PDF to your phone.