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:
Donor would like to help childless couples become parents. She would like women who dream of children to experience the happiness of motherhood.
Donor grew up in an ordinary, simple family. She has a younger brother, who is now 24 years old and serves in the Armed Forces of Ukraine. Her mother has a strong character, strict, emotional, caring, always took care of and worried about her and her brother. Her father has a softer and calmer character. He is a balanced, respectful, confident man.
Donor is married, her husband is a military man, now a war veteran, discharged due to health reasons as a result of an injury. She has a wonderful daughter, who is 4 years old. She goes to kindergarten, loves to play and communicate with children. She is developed, energetic, inquisitive. She attends choreography and vocal classes, loves to draw.
Donor was also an active, cheerful and sociable child in childhood. She loved communication, traveling, walking with friends, just not to sit at home. She studied well, with interest and responsibility. Her parents were strict, so she tried to meet their expectations. She was interested in history, literature. She was a creative child, attended a beadwork club. She also did rhythmic gymnastics and choreography.
After school, she entered college, and then the Academy of Advocacy of Ukraine. In her final years, she began to work and support herself. Although it was not easy, she coped with both studying and working in parallel. She has a higher education in Law.
She currently works as a sales consultant in a clothing and footwear store. It is still difficult to get a job after her education, she does not have experience yet.
She dreams of traveling the world, seeing different cultures, meeting new people and interesting places.
Her main achievement to date is a promotion at work, she has already become a senior salesperson.
Her loved ones say that she is vulnerable, takes everything to heart, sensitive. The opinion of loved ones is important to her.
Her special feature is her kindness to everyone and trust. She will help others in any way she can. She will support them.
Family is the most important thing for her, without them it would be difficult in this world. A husband is both a friend and a partner for her - he always supports and helps. They love family evenings together - dinner together, a walk or watching an interesting movie.
Donor is a responsible, conscientious, hardworking person. In addition, she is strong in spirit, hardy, courageous and persistently goes towards her own goals. She is friendly, sociable, and open to communication.
