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 sees the donation program as a good help and benefit for other people. And she is used to helping others, understanding their needs and, if possible, not being on the sidelines. She will be glad if someone else in the world also becomes a parent thanks to her.
The donor is married, her husband is a military man, currently undergoing treatment and rehabilitation, so at home, with his family. They are raising a 3-year-old son, who is a talkative, inquisitive, sociable boy. He is an active, mobile, playful child. He attends kindergarten with pleasure and interest, loves communication and playing with children. Her family is the best and most valuable thing she has, a better future for her loved ones is her main motivation in self-development and realization.
The donor's parents are divorced. The mother lives in Poland, they are always in touch, maintain good and trusting relationships. She and her mother are very similar both in appearance and in character. The mother is strict, but fair and kind. She is a hardworking, responsible, conscientious person, and she has taught her children the same. Dad is softer in character, kind, polite, and caring. He is calm, reliable, and is her support and confidant in difficult situations.
The donor has an older sister who has her own family and 3 children. And an older brother who also has a family and 2 children.
The donor herself was a kind, sincere and open child. She was sociable, always had a circle of friends, a company of interests with whom she spent time, played, talked, made friends, went to volleyball and basketball training together. Sports always occupied an important place in her life. She studied normally, she liked humanitarian disciplines more. She was engaged in vocals, drawing. Since childhood, she liked to cook for the whole family, especially desserts, so after graduating from school she entered college to continue doing what she liked. Studying at college was interesting, exciting, especially internships. A rich student life, new friends, common interests, she became more independent, responsible. She received secondary specialized education in the specialty of a pastry chef. After studying, she worked as an assistant cook. Now she has changed her line of work and works as a manager of a household goods store.
She considers her achievement for now that she has taken a managerial position, because she started working in this store as an ordinary seller. And thanks to her character qualities, she was able to achieve professional growth.
She is distinguished by her sincere kindness to everyone. When she is asked for help - at work, at home, anywhere - she does not know how to refuse. She cannot pass by a person who is in trouble.
She dreams of self-development, career growth, and advanced training. And she also dreams of her own house, where she will live with her family.
Her husband sees her as a fragile, kind, open and responsive person. She considers herself a simple, modest and hardworking person. The donor is cheerful, energetic, loves humor and jokes, positive and optimistic. She is quite ambitious and purposeful, responsible, persistent and conscientious in her work.
Donor tested for up to 100 genes.