This donor has passed a rigorous medical examination to ensure absolute safety. Our screening process includes strict testing for infectious diseases (HIV, Hepatitis B/C, STIs), an evaluation of lifestyle habits, and a general physical assessment. We confirm the donor is currently in excellent health and free from transmissible conditions.
Assess your vision without corrective contact lenses
Do you wear contact lenses or have you had corrective surgery?
If yes, describe a problem:
What is the condition of your teeth?
Have you ever had braces?
Do you use nicotine products?
Do you drink alcoholic beverages?
If yes, how much alcohol do you drink?
Describe your diet
Estimate the level of nutrition:
Do you have allergies?
If yes, describe what exactly you are allergic to:
What is your sexual orientation?
How many children do you have?
Age at the time of the first menstruation:
The interval between menstruation is:
Have there been cases of multiple pregnancies in the family:
Please provide information about your biological relatives (indicate only natural hair and eye color):
Relative
Height, cm
Weight, kg
Eye color
Natural hair color
Primary medical history
Mother:
Father:
Complete the table
Family (which relative has the disease)
Age
Cause of death
Disease
The age at which was diagnosed
| Have you ever been diagnosed with or suspected of having any neurological disease (including dementia or degenerative /demyelinating disease of the CNS or other neurological disease of unknown etiology)? | No |
| Have you or any of your sexual partners ever been diagnosed with or suspected of having West Nile Virus (based on symptoms and/or laboratory results or confirmed WNV viremia), experienced symptoms of WNV infection? | No |
| Have you ever been exposed to known or suspected HIV, Hepatitis B, Hepatitis C infected blood or body fluids through skin inoculation, open wounds, non-intact skin or mucous membranes? | No |
| Have you or any of your sexual partners has had sex in the preceding 12 months with a person known to have HIV, clinically active HBV or clinically active HCV? | No |
| Have you or any of your sexual partner(s) ever received, blood, blood components, blood products, or other human tissues that are known to be possible sources of blood-borne pathogens? | No |
| Have you or your sexual partners been diagnosed with Zika virus in the past 6 months? | No |
| Have you travelled to an area with Zika virus transmission? | No |
| Alcoholism | No |
| Drug addiction | No |
| Alzheimer's disease / dementia before age 60 | No |
| Aneurysm | No |
| Fear / panic attacks | No |
| Attention deficit / hyperactivity disorder | No |
| Autism or Asperger's syndrome | No |
| Bipolar disorder | No |
| Blood coagulation disorders / hemophilia | No |
| Blindness before the age of 50 | No |
| Brain tumor / abnormality | No |
| Breast cancer | No |
| Cerebral palsy | No |
| Non-union of the lip or palate | No |
| Colorectal cancer | No |
| Flat feet | No |
| Depression | No |
| Epilepsy or seizures | No |
| Extra or fused fingers or toes | No |
| Genetic disorders | No |
| Hearing disorders / deafness under the age of 50 | No |
| Heart attack before age 50 | No |
| Heart defect | No |
| Huntington's disease | No |
| Immune disorders | No |
| Kidney defect / disorder / cancer | No |
| Intellectual disability / developmental delay | No |
| Melanoma | No |
| Mental retardation | No |
| Obsessive-compulsive disorder | No |
| Ovarian cancer | No |
| Pancreatic cancer | No |
| Parkinson's disease before the age of 60 | No |
| Pituitary disorder | No |
| Prostate cancer before the age of 50 | No |
| Schizophrenia | No |
| Speech disorders / lisping / stuttering | No |
| Split spine | No |
| Stroke under the age of 50 | No |
| Uterine cancer | No |
| Tourette syndrome | No |
| Vision disorders | No |
| Vitiligo / pigmentation disorders | No |
| Death before the age of 50, including childhood | No |
| Other cancer diagnoses before the age of 50 | No |
| Other congenital defects | No |
| Other health disorders | No |
| Diabetes | No |
| Hypertension | No |
| Rheumatoid arthritis | No |
| Pathology of the thyroid gland | No |
| Endometriosis | No |
“Big Five” personality traits of the Donor
1
Extraversion
2
Emotionality
3
Openness to New Experiences
4
Conscientiousness
5
Agreeableness
A
Psychological assessment of the donor:
The donor saw an advertisement for the donation program on a social network. In addition to liking the idea of such a program, she learned that there are people in her environment who have encountered the IVF program, infertility. She understands what people can feel in such cases and sympathizes with them. Therefore, for her, this is altruism, helping people who need it. She considers it necessary to be kind and help others when possible.
The donor is not married, raising a 10-month-old daughter. The child's father supports them financially, but they are not together. The daughter is a healthy, active child who is developing quickly, learning everything around her.
Now she and her daughter live with her mother. They help and support each other. Dad died 6 years ago, he was older than mom.
The donor got most of her character traits from her dad - first of all, a thirst for knowledge, no matter what you ask him, he knew the answer to everything. He was an interesting, intelligent person, whom you wanted to admire. A donor with a wonderful sense of humor.
Mom for her is a ray of goodness and happiness. She is pleasant in communication, kind, sensitive, gentle. She is a wonderful person, professional, doctor, psychologist.
Donor was a correct child, well-mannered, respected her elders. She is kind, polite. Donor is purposeful, but not conflictual, collected and serious. She is responsible and conscientious. She participated in various school Olympiads, took prizes. She was always an excellent student. She was fond of reading books.
After graduating from school, she entered the university, where she received a higher education - Accounting. She has been working in a call center since the age of 18. Now she works in an online school, in the advertising department.
She considers her achievement to be that she realizes herself in work, independently arranged her life for herself, mother and daughter.
Her special feature is her empathy. She knows how to understand and feel the mental state of other people. She has a "savior syndrome", if she has the opportunity, she will try to give people positivity, support, help. Also, her special feature is her love of life, optimism.
She dreams of a strong family, harmonious relationships.
She is kind, open, sincere, sensitive, emotional, sensual. Strong-willed, hardworking and conscientious. Punctual and responsible in the obligations she undertakes. She can be vulnerable, she perceives the problems of loved ones as her own. Very sociable and sociable.
