| Yes | No |
| In the past 3 months, have you | | |
| 26. Had a blood transfusion? | | |
| 27. Had a transplant such as organ, tissue, or bone marrow? | | |
| 28. Had a graft such as bone or skin? | | |
Potential donors who have received a blood transfusion, transplant, or graft are at an elevated risk for infectious disease transmission and are deferred for 3 months from the date of their procedure.
Donors who have received autologous blood transfusions, transplants, or grafts do not need to be deferred.
