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:
She saw an ad on a social network, read it, found out more information and decided to try to see if she was suitable as a donor. She would also be able to help others and receive financial compensation for her own needs. She says that she wants people who cannot have children and who do so through donation to have cute, beautiful, healthy children as a result. They deserve it.
The donor is married, has been raising a son for 2.5 years. Her son is cheerful, smart, mobile, developed, active, sociable.
Her father died when she was little, she doesn’t remember him. There were 4 girls in the family, she is the oldest sister. Therefore, she was always the main one, responsible, organized everyone around her.
Her mother is hardworking, has a large farm, lives in the village. She raised 4 children. Calm, quiet, silent. The donor has a completely different character – she is direct, combative, open, talkative, cannot keep her emotions to herself.
Family for the donor is trust, support, love. When something happens, the others in the family support her, will be there for her.
The donor herself was an active, sporty child. She played tennis, played football and volleyball, and danced. She couldn't sit still for long, she needed communication, walks, constant movement, friendship. She studied normally, was interested in physics, and was active in school life. When she entered college, a busy student life began. It was interesting, fun, new friends, and communication based on interests. Living in a dormitory, she quickly matured, began to take responsibility for herself, and learned to be independent.
She has a secondary education in the specialty of Laboratory Assistant in the food industry.
After studying, she worked, sought financial independence, and worked abroad. She returned to Ukraine when she got married and became pregnant.
Now she is not working, on maternity leave.
Her main achievement today is her child, it is the most valuable thing she has for her. It is also a driving force and motivator in her life.
Her talent is her musicality, she dances well, feels the rhythm, it gives her the opportunity to rest and relax.
She dreams of being rich and independent of anyone. She dreams of traveling, seeing the diversity of countries and cultures.
Donor is strong, brave, hardworking and persistent. She is cheerful, humorous, optimistic. Smart, cunning, takes care of her interests. Active, ambitious, energetic. She is not a comfortable person, it is easier for her to find a compromise solution than to argue and conflict. Donor is emotional, open, sensitive. It is inherent in her to quickly catch fire with an idea, desire, but also to quickly lose interest. She does not like monotonous work. She is stubborn and confident in her own abilities.
