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 believes that she will help other people fulfill their dreams, that thanks to her a new life will born, that somewhere in the world there will be a piece of her genotype. She believes that it is unfair when someone is deprived of the opportunity to experience motherhood.
The donor is divorced, raising two children on her own – a 10-year-old son and a 9-year-old daughter. She jokes that she and her brother have the same age difference as her children. She talks about her daughter as active, sociable, “the soul of the company”, loves to be the center of attention. She is a direct, sincere, open girl. Creative and artistic.
The son is more calm and balanced. It is characteristic of him to think first, and then say something or act. He has mathematical thinking, is interested in programming.
The donor’s parents divorced when she was a child. There was no communication with her father, so she cannot tell anything in detail about him. Her stepfather was more involved in her upbringing, after her mother remarried. Her stepfather became a friend and father to her – he was reliable, calm, caring.
Mother is calm, vulnerable, sensitive. She is a gentle, fragile, loving, open person. She always supported the donor, was proud of her – that she was strong in spirit, strong-willed, confident in her own abilities.
About herself as a child, the donor jokingly says that compared to her brother, she was polite and well-mannered. She and her brother spent most of their time together. They had mutual friends, so she mostly hung out with boys. Her childhood was fun, active, and eventful – walks to the river, in the forest, picnics, and sports. Warm memories are mainly about her relationship with her brother – they were friendly, “protected” each other even in front of their mother.
The donor was engaged in drawing. She studied well, and she easily managed to learn languages. She dreamed of becoming a teacher. She was active in the creative and sports life of the school – she participated in performances, competitions, and events. The donor has been open and sociable since childhood.
After the 9th grade, she entered a vocational school. A new, more responsible and independent life began – new acquaintances, interesting experiences, and exciting learning.
She has a secondary specialized education – Landscape designer, Forester-gamer. She likes her profession, but after the birth of children she decided that this profession is not for a mother with children.
She became interested in the field of beauty, completed several specialized courses – hairdresser, makeup artist, manicurist. And with the acquisition of experience, she began to do it well. She now works as a manicurist in a beauty salon.
In her opinion, her special feature is her sociability, humor, and positivity. She knows how to organize, gather people around her, and inspire them with optimism. She believes that one should love and value oneself.
Her achievements to date are that she has not lost faith in the future, believes in goodness, and is taking steps toward realizing her dreams. And her achievements are also the birth and raising of children.
She dreams of opening and organizing her own business - her own beauty salon. To have financial independence and stability.
Her loved ones believe that she is too demanding of herself and self-critical. She is hardworking, diligent, and persistent. She is also talkative, sincere, positive, and pleasant to talk to. She has a good sense of humor and an optimistic outlook on life. She believes in goodness, in the best, brightest qualities in the people around her. She is a responsible, purposeful, and punctual person.
Donor tested for over 100 genes.