1. Are you male or female?

2. What is your date of birth?

Have you ever donated blood?

Have you donated in the last three years?

Have you donated in the last year (364 days)?

3. What is your weight and your height?

Kg Cm

4. Did you live in the United Kingdom (England, Scotland, Wales and Northern Ireland) from 1980 to 1986 for longer than 6 months (all times spent living there during this time span combined)?

5. Have you travelled outside of Belgium over the last 6 months?

5.1. Have you travelled outside of Europe?

6. Are you pregnant or have you given birth over the last 6 months (including miscarriage or termination of pregnancy)?

7. Did you recently run a fever or contract an infection (bronchitis, urinary infection, etc.)?

8. Are you taking medication?

9. Have you been vaccinated less than a month ago?

10. Have you undergone an endoscopy (arthroscopy, gastroscopy, colonoscopy, etc.) or an operation over the last 4 months?

11. Did you see the dentist over the last 7 days?

12. Have you had a piercing (including ear rings), a tattoo (including permanent make-up) applied over the last 4 months?

13. Have you already used drugs?

14. Have you had a new sex partner over the last 4 months? (with or without protection)

15. Have you had a new sex partner over the last 4 months? (with or without protection)

16. Have you had a sexual relationship with a male over the last 4 months?

End. Thank you for taking the test!

Based on your replies  - unless you have continued with the test despite being notified of a contraindication - you are allowed to donate blood. However, this online questionnaire is for general guidance only. At the time of the collection, you will be asked to complete a medical questionnaire and undergo a medical examination ahead of the donation. Only the doctor is qualified to confirm whether or not you are suitable to donate blood.

 

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Blood donation registration

Your Collection from 06-01-2026 from 15:00 to 19:00
  • MIX
    MIX Niv+1 Salle Banquet 2
    Boulevard du Souverain 25
    1170 Bruxelles

Take 2 minutes to check that you are eligible to give blood.

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    BEFORE COMPLETING YOUR REGISTRATION,
    WE NEED THE FOLLOWING INFORMATION






    For organizational purposes, if you have never donated blood before, please register at least 30 minutes before the end of the collection. Thank you for your understanding.

    As a new donor, you will be asked to complete an initial registration procedure during your first appointment. We ask that you arrive early (ideally 15 minutes before your appointment), unless your appointment is scheduled for the opening time of the collection center.

    As a new donor, you will be asked to complete an initial registration procedure during your first appointment. We ask that you arrive early (ideally 15 minutes before your appointment), unless your appointment is scheduled for the opening time of the collection center.