Processes and peer data are available to address patient satisfaction in the inpatient setting, but evaluating satisfaction in the outpatient setting has been historically over-looked. Our outpatient apheresis unit has established a mechanism to assess patient satisfaction and address the unobserved needs of our patients. We have developed patient satisfaction cards that are given to patients upon completion of their procedure. Patients have the opportunity to rate their care by answering the following questions:Was the procedure thoroughly explained by the apheresis staff?Were your needs met during the procedure?Were you treated in a courteous and professional manner?Can you please rate the overall apheresis experience? Ratings are on a scale from 1 to 5 with 1 being 'very poor' to 5 being 'very good'. Patients are also given the opportunity to provide comments regarding their procedure and the entire apheresis process. The self-addressed scorecards are sent directly to our program's quality management coordinator for review and evaluation. Survey participants are anonymous with names being optional. The goal of our hospital is to have a 'good' or 'very good' response on 90% of all patient satisfaction surveys. Our goal is to exceed the needs of each patient and stay in-line with the hospital's desired goal. Tabulated results are reviewed with the apheresis staff and are presented quarterly at our transplant program's quality management meetings. Results and comments are posted within the apheresis unit for continuous visualization of patient satisfaction. Comments for improvement are entered into our unit's complaint log and are reviewed during our department meetings. Improved patient satisfaction is a high priority at our institution. Patient satisfaction assessment is an excellent mechanism for quality improvement activities. Evaluation of care, planning for improvement and documentation of actions taken are a required quality improvement activities for FACT accreditation for our blood and marrow collection facility. Comment cards give our patients an opportunity to express their appreciation for the care provided by our staff. This provides an excellent affirmation of a job well done.