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 treats the donation program as a charitable cause. He believes that such programs benefit both the donor and potential future parents - everyone gets what they want and expect.
The donor has an incomplete higher education - philology, Ukrainian language and literature. She currently works as a teacher's assistant in a kindergarten.
She has hobbies - playing chess, drawing.
Her father died when she was very young, so she does not remember him.
According to the donor, her mother is a purposeful, independent, strong woman. She has achieved a certain professional fulfillment and status - the director of a financial company.
The donor is the only child in the family. Since childhood, she has been active, proud, energetic. She is restless, inquisitive, and quick-witted. She studied well, has a greater inclination towards humanitarian subjects. She was engaged in swimming, figure skating, and gymnastics. Her hobby was also drawing. She usually spent her free time actively in the company of friends – rollerblading, cycling, walking in nature. She likes to read books. Every summer she went to the sea and to the dacha with her grandparents.
After the 9th grade of school, the donor continued her studies at college, where she received a secondary education in the specialty - Tourism and Hotel Management. Then she entered the university for philology. She has not yet completed 1 year, took a break, plans to continue her studies later.
Student life for her was both simple and difficult at the same time. A new life separate from her mother in a dormitory, new friends, interesting studies, but also responsibility and independence. She grew up, started earning.
Now she is passionate about medicine, has a desire to get a medical education, become a nurse.
She considers her special feature to be terrible stubbornness and ambition. She is similar to her mother in this - she strives for perfection, fulfillment, recognition.
She dreams of getting a higher education, achieving results in her profession, being financially independent. And she also has a dream - her own country house with a swimming pool.
The donor is characterized by ambition and purposefulness, she does not understand when other people do not strive for development, career growth. She likes to try something new, change her life, but also appreciates constancy in certain moments.
In relationships with other people, the donor is often loyal, patient, can forgive a loved one a lot and justify actions.
She is energetic, persistent, hardworking. She has many plans, is determined to move only forward, towards the goal. She manifests herself as an emotional, vulnerable, sensual and sociable person.
