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:
A friend told me about the donation program, and the donor herself had been thinking about a similar program for a long time. She would like to help families who want to have children, but they can't. She feels sorry that someone feels unhappy because of this.
The donor is married, has a 3-year-old daughter, who is a cheerful, lively, active child. She met her husband at work, where she still works.
The donor's mother was a gentle, loyal and patient person. The donor considers herself stronger, more collected and strong-willed.
The father was his own person, with pronounced leadership qualities. He solved all problems quickly, clearly, qualitatively, no matter what you turned to him for.
The donor was an active child, sought to be the center of attention, to get everything she wanted. But at the same time, she was well-mannered, understood the word "no", fulfilled agreements. She respected her parents. She has been sensible since childhood, able to resist emotions and make informed decisions. An athletic, active child who was eager to try out various new clubs, activities, and hobbies – she was involved in gymnastics, figure skating, and drawing.
She studied well at school, was fond of natural sciences - she is interested in biology, the life of microorganisms, how natural processes in the world work. Therefore, she chose the right profession - she has a higher education as a biology and chemistry teacher.
While studying at the university, she began working as a teacher at school. She liked her work. But one day, visiting the capital, she realized that she wanted to live here.
She began her career in the capital with an ordinary branch operator in a large transport and logistics company. Now she works in this international company in the central office as a business process technologist.
She considers her special feature to be the desire for justice. It hurts her when she cannot correct an unfair situation, it is difficult to put up with it. She understands everyone, sympathizes, tries to help.
Her achievements are what she has - a happy family, a healthy child and an interesting job. And she does not stop there, she strives for further development, improvement, and realization.
She dreams of her own house and career growth to a high position.
Donor is a purposeful, persistent, ambitious person. She is pleasant to communicate with, punctual, responsible. She has a fighting, strong-willed character, an inner core. She is emotional, friendly, direct. Promising, strives for self-development and self-realization.
