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 learned about the donation program from an advertisement on a social network, decided to fill out the questionnaire and try to participate. She knows from her own experience what motherhood is and loves children. Her older sister cannot get pregnant, knowing from a loved one how painful it is to experience it. Therefore, she wants to be useful to people who want to have children, a family. She will be glad if her cells can help.
The donor is unmarried, has a 3-year-old son, who manifests himself as a persistent, stubborn, demanding boy. He is sociable, open to communication and games with children, tactile, gentle.
The donor's mother is strict, strong-willed, strong-willed. She had to work conscientiously and persistently to provide for her and her sister, give them everything they need, and raise them.
Her sister, who is 10 years older, has always been her best friend, close person, and support.
The donor remembers her father with pain and sadness. He went missing 10 years ago. In her memories, he remained kind, caring, ready to help. They had a warm relationship, and her father treated her like a "princess."
The donor herself says that she was an active, mobile, energetic child. The best time for her was spent with her grandmother in the village, where there were friends, company, communication, games, nature. She and her sister spent most of the time together, she helped, supported, guided, explained. The donor studied well, was fond of biology, read a lot of books. She graduated from acting school - performances, competitions, concerts are her favorite thing. She was engaged in dancing, drawing. She tried various new activities, hobbies, passions. She remembers herself as a cheerful, positive, open-minded child. After the 9th grade, she studied at a culinary college. At first, she did not show much enthusiasm for cooking, but during her studies, it became a sphere of her interests, a manifestation of creative abilities and imagination. It became especially interesting to develop in the confectionery business. Now for her, cooking is the best therapy, it helps to calm down, organize thoughts, relax mentally, make it pleasant for close people.
Her specialty is the ability to find the right words to support a person. She loves to receive and give positive emotions, joy, optimism.
She is proud of herself for being able to survive and endure a difficult pregnancy, during which she had health complications. But she steadfastly underwent treatment, took care of herself and her baby. Although she was left alone without support and help from her husband, friends, and relatives, the donor gave birth to a healthy baby.
She dreams of her child receiving an education abroad. She dreams of traveling, seeing the diversity of the world. She wants to have a big, strong, happy family, and have more children.
The donor describes herself as a gentle, tactile, open-minded person. She is positive, optimistic about the world, loves to joke, smile. She loves to please her loved ones, make pleasant surprises for them, and show signs of attention. She thinks not only about herself, is attentive to others. She is emotional, sensitive, and sensual. Tactful and well-mannered, worries so as not to offend others, and respects a different position. The donor is responsible, punctual, accurate in her work. Sociable and pleasant to communicate with.
