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 describes her motivation for participating in the oocyte donation program as “a call from the heart.” She believes that doing good is important for spiritual development. When you take part in the birth of a new person, it is a great good deed. She would also like to become an organ donor posthumously, she would like to benefit society.
The donor and her husband are raising a 6-year-old daughter who is in first grade, studies well, does ballet, and draws. She is an energetic, active, and inquisitive child.
The donor talks about her parents with love and admiration. Her father is her pride. He is the coach of the children’s skeleton team. His father also practiced bobsledding. He is strong, courageous, persistent, and has a fighting spirit. He can do anything if he wants to. He has a brother who is 16 years younger. His brother also trains in this sport.
Mom is “burning” with her own business, investing in it. She is businesslike, smart, and has entrepreneurial talent. She is purposeful, hardworking, and responsible. And she is very kind and caring, and she volunteers at a pet shelter.
Donor was an active child, very energetic, mobile. Stubborn, always achieved what she wanted. Her childhood was happy - vacations with her family at the seaside, friends, various hobbies, traveling. She studied well, was fond of studying English, and in general, learning languages was easy for her. After graduating from school, she studied at a university in Poland for two years, at the faculty of "International Relations". But she did not like studying there and insisted on returning to Ukraine. She entered a university in Ukraine, where she received a higher education in law. Now she is looking for a new job.
She considers the birth of her daughter, her provision, upbringing, education to be her achievements. As well as perfect command of English.
She sees her speciality in perseverance and stubbornness. If she wants something, she will definitely do it. Motivation for her is everything, it is the most important thing. She always moves towards the goal.
She dreams of moving to Italy with her whole family. Italy is a dream country for her. She is interested in customs, food, and culture.
Her loved ones believe that she is a kind, open, and empathetic person. They listen to her opinions and ask her for advice.
Donor believes that empathy is the engine of humanity. She always tries to put herself in the shoes of another person, to understand, to hear another. Her grandmother taught her to be sincerely happy for herself and others.
Donor is bold, open, talkative, “the soul of the company.” She is direct, positive, with a sense of humor, and friendly.
