| Blood Product | Always | Sometimes | Rarely | Never |
| (a.) Nonleukocyte Reduced RBCs | 3 | 2 | 1 | 0 |
| (b.) Leukocyte Reduced RBCs | 3 | 2 | 1 | 0 |
| (c.) Irradiated RBCs | 3 | 2 | 1 | 0 |
| (d.) Washed RBCs | 3 | 2 | 1 | 0 |
| (e.) Sickle Cell negative RBCs | 3 | 2 | 1 | 0 |
| (f.) Other Products (please specify): | 3 | 2 | 1 | 0 |
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