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 donation is a good cause in which she can participate and also make her contribution, so that another family can have the opportunity to have children, so that another couple can become parents.
The donor is divorced, raising a 6-year-old son. Who is now a first-grader, is interested in everything around him, studies with enthusiasm. He is cheerful, sociable, at the same time purposeful, persistent and ambitious. He is a healthy, energetic, active child.
Her parents divorced when she was 5 years old, each of them has a second family. They all have friendly and warm relations with each other, communicate, support each other, help. She has a younger sister, who is now 20 years old. They are very close, like best friends. The sister often helps to look after her son.
Her mother is a kind, positive, generous and genuine person. She will never betray, help, always be there.
Dad is her support, he is brave (and she has it from her dad) and good-natured. Also stubbornness and confidence in her from her father.
For her, the family is the most valuable thing she has, and the most reliable, stable thing in her life. She is capable of anything for the sake of her loved ones and the child.
She was a “golden child” in the words of her mother. Obedient, kind, beautiful. She is active, responsible and conscientious. Sports have always been in her life - athletics, football, tennis and gymnastics. Participation in competitions, prizes. She studied well, loved mathematics, was interested in history. In her free time, she and her friends played active games, walked in the forest, picked mushrooms, went fishing. They loved to go to the sports ground with a company. She does not sit still, is constantly on the move, travels. After school, she completed confectionery courses and various additional training. She worked as a pastry chef, making cakes and pastries to order. Now she has temporarily stopped taking orders.
She considers the birth of her son and his upbringing to be her achievement.
Her special feature is her nobility, reliability, and loyalty. She is a person who will not betray or let down.
She dreams of world peace. She dreams of traveling with her son and family. She dreams of opening her own small, cozy coffee shop.
Friends and relatives say that she is stubborn, persistent, brave, and kind. She doesn't tolerate deception, is strong-willed, and strong-willed. She is straightforward, sincere, and open in communication. Kind, smiling, and sociable. She only says positive things about others. She isn't conflict-prone, easily finds common ground with different people. She is ready to help others. Responsible, conscientious, and punctual in her work.
Donor tested for up to 100 genes.