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 was initially interested in participating in the donation program for the opportunity to receive financial rewards. But then she came to the pleasant realization that it also provides people with the opportunity to become parents.
The donor believes that he and his sister were able to build wonderful relationships with their parents. They gradually learned to understand each other, respect the different positions of each other and show love and care.
The donor's father is strong and courageous, all problems and situations are on his shoulders. He is balanced and taught the donor to have a sober and cold mind in stressful situations, to make decisions and act with caution. The donor feels a special closeness to his father.
The donor's mother is an emotional, sensual, sometimes impulsive person. She is a good organizer, seeks to control everything, order and accuracy in everything are important to her.
The donor's childhood was active and fun. For several years in a row she was engaged in gymnastics, "burning" with it. Sociable, always surrounded by friends, in interesting company. She studied well, she was better at studying humanitarian subjects. She was interested in everything around her. She sang in the local choir, with which they went to charity performances, for example, to orphanages. She was interested in art, had creative abilities.
From her childhood, she remembers how she loved to relax with her family. Her parents took her and her sister everywhere with them on trips, on vacation, to visit their friends.
After school, the donor entered college, where she received a secondary education in the field of Administrative Activities and Secretary to the Manager.
She was always fascinated by psychology, read books in this field, was interested in how the human psyche works, how to build healthy relationships with herself and other people. And now she decided to take a break from her professional life. She does not work, she plans to enroll in Psychology. But first she wants to figure out if this is really what she wants. She works on her own health - physical and mental - playing sports, reading books, forming positive skills, controlling self-discipline, striving for self-development.
Her specialty is the ability to influence people well. She is able to listen, understand, help make decisions, and hear herself.
She considers the therapy she underwent with a psychologist to be her own achievement. She learned to take responsibility for her own life, to be conscious, and disciplined.
She usually sets goals for herself and moves towards their realization. The donor believes that actions, not words, will speak better about her.
She is a person who is comfortable everywhere because she knows how to adjust and adapt to circumstances. The donor is responsible, punctual, accurate, and clear in her promises and agreements. She is interesting, friendly, direct, and frank in communication. She strives for self-development, perfection, and self-realization. She shows herself as a balanced, sociable, empathetic, and friendly person.
