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 believes that she is doing a very good deed - she helps couples who cannot have children, but want to. She can be useful to them, and also receive financial compensation, as mutual support for her and her family.
The donor has been in a civil marriage for 5 years, she and her husband are the closest people, they are support for each other. For her, family is the most important thing in life and is associated with love, warmth and closeness, trust.
Her mother is a primary school teacher. Sociable, intelligent and smart. She is kind, open, caring and sincere.
The donor's father is a firefighter. He works hard, is a strong, courageous, reliable man. He is the head of the family, he is a support, help and security for loved ones. Dad has always been an authority for her, his opinion is weighty.
The donor also has a 16-year-old younger brother, who is currently studying in college. They are a strong, good, and intelligent family. They are together at all times, ready to come to each other's aid, support, and understand.
Donor was a calm, obedient child. She has had active hobbies since childhood - skiing, motorcycles, cars. She also studied at an art school, she draws well. Donor studied well, she easily succeeded in both exact and humanities. Sports have always been in her life since childhood, she believes that it is important to have time for herself and her appearance.
After school, Donor entered the university. Where she also studied with pleasure, enthusiasm, and excellently. She has a higher education in Business Economics. She also met friends there, people with whom she is good, comfortable and interesting.
Friendship for her is support, understanding, mutual assistance, and not just common interests.
Now she works as an assistant director at the MHP Culinary School. She is involved in events, organizing activities, and training. She really likes her job, she feels at home there, it gives her the opportunity for professional growth and self-realization.
Her greatest achievement today is realizing the life potential of her own life, building a regime, achieving at work, having prospects, and also having a loved one by her side.
Her special feature is straightforwardness, she does not keep quiet, she speaks her own opinion. But she also respects the opinions of others, because everyone is different.
She dreams of traveling, having a family with children and earning well.
Her loved ones believe that she is direct, frank, self-confident, there is no point in arguing with her, she has her own position.
Hobbies are sports, namely stretching, riding motorcycles, sports cars.
Donor is sociable, smart, confident, intelligent, charismatic, stress-resistant, active. In work, persistent, ambitious, clear and demanding, responsible.
