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 has a loved one who was unable to become a mother, and she knows how painful it is, how it affects the quality of life. The donor understands that there are more people in the world who dream of becoming a mother, but face obstacles. Therefore, the donor will be happy if, thanks to her, there will be more happy parents.
The donor is not married. Her paternal family is her mother and younger brother. She believes that she and her mother are similar in character and appearance. Her mother is a gentle and kind person, she is loving and caring. She did not scold her even for the slightest mistake or misconduct, understanding and supportive. Her mother is hardworking, persistent and responsible in her affairs.
The donor has been active, mobile, energetic since childhood. She usually spent her time with friends playing active games and taking walks. She constantly rescued street animals, carried them home, she could not pass by and do nothing. The donor studied normally, she had greater abilities in the humanities. She was fond of music and art. She was inquisitive, so she tried herself in various clubs and hobbies - drawing, needlework, knitting, sewing. She also went in for sports - volleyball and track and field training. For her, relationships with people were always of primary importance. For example, if she had mutual understanding with the teacher, then studying in this subject was successful, and vice versa. She still prefers working with people, feeling useful and needed by others, having the opportunity to communicate with people.
After graduating from school, she continued her studies at a vocational school. Where the study was more interesting and exciting. She especially liked practical classes, where she could directly gain experience and skills.
Donor has a secondary specialized education in the specialty - Hairdresser and manicurist. She still has experience working in the field of manicure, she is currently actively gaining practice, improving her skills and knowledge in this area - attending seminars, training, master classes. She sees this profession as creative and aesthetic. She currently works as a bartender to be able to provide for herself and seeks development and change of work.
She sees her specialty in the ability to joke in a timely and appropriate manner. Laughter, humor and self-irony help her to be stress-resistant and cope with various life situations.
Today, she considers her achievements to be hard work and endurance - she has been working from an early age, is not afraid of any work, is persistent and conscientious, therefore she is financially independent and self-sufficient.
The donor dreams of a family, children, the purchase of her own home, financial stability and security.
The donor is a good friend, her loved ones consider her reliable, understanding.
The donor jokes that she is in a hurry to live - she is interested in everything, works a lot, strives to grow up and become independent.
She is brave, emotional, sensitive, strong-willed. In communication, the donor is a direct, open, friendly and humorous person. Endowed with such qualities as responsibility, perseverance, purposefulness and ambition.
