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 doesn't plan to have more children at this stage, so why not share her resource with others. It would be good if someone could use her cells for a good cause to create a new life.
The donor is divorced, raising a 9-year-old son alone. He is a healthy, active child. He studies well, is inquisitive, is fond of learning English, and plays football.
She was an active, athletic, and energetic child. She was strong-willed, characteristic, knew how to defend her opinion, position, and fight back. She is direct, doesn't know how to keep quiet. An organizer, a leader. She always has company, friends, and communication around her. She studied well, was especially fond of history and law. She loves to read, learn new things. She sings beautifully, like her mother. She is an active participant in various music contests, performances, and competitions.
After 10th grade, she entered college, and after college, she entered university. She has a higher education in commodity analysis. She started working while still at university. For more than 9 years, she has been working and developing as a tattoo and piercing master, and an eyebrow master. She is a private entrepreneur. She is a certified trainer - she teaches others in this profession.
She is a hands-on person, it calms her down, helps her mentally relax.
She has wonderful parents, a younger sister. She happily recalls a wonderful childhood. Her parents cared, loved, and supported her. In their family, the main thing was not material, but spiritual. They still have family traditions - the whole family gets together for Christmas.
For her, dad is a model of masculine courage and strength. He achieved everything in his life himself, earned it, built a house himself. He worked hard, but he always had the strength for his family. He was loving, caring, attentive. He never refused her any of her requests. The donor is “daddy’s daughter,” they are very close.
Mom for the donor is associated with home comfort, the smell of pies, and a delicious dinner. On Christmas holidays, mom turned the house into a fairy tale. Mom is always there, always helping. Mom was beautiful in her youth and sang at concerts.
The donor dreams of having his own house, comfort, a green lawn, a dog, and of course, a strong and reliable family.
She considers the birth and upbringing of her son to be her achievement. He is a worthy boy for her.
Her special feature is stubbornness, purposefulness, perseverance. If she has a goal, she will achieve it.
She has a hobby - beadwork and sports, which are always in her life. She is an athlete, for a healthy diet and lifestyle - this is her life credo.
Her relatives say that everything in her hands is "burning". She can't sit still, she can't be without movement, without activity.
The donor is an energetic, active, optimistic person. She has a strong character, strong-willed, self-confident. Purposeful, conscientious, persistent, hardworking. Sociable, direct, open and pleasant in communication.
