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 it is very good that there are such programs that help a new life to be born. She is pleased to think that she is helping others become parents, to fulfill someone's dream.
The donor is divorced, has a 10-year-old son. He is active, stubborn, persistent, strong-willed. He is also kind, sociable, and sensitive. He studies well at school, and goes swimming.
The donor has a brother who is 12 years older than her, who lives with his family in another country. His father died when she was 15.
Now the family for the donor is mother and son. This is the most valuable thing she has. This is her main motivation and moral support.
Her mother is her teacher in kindergarten. She is strict, serious, quite independent, and strong-willed. She is an emotional, sociable, and sensual person. For the donor, her mother is now both support, understanding, and her closest friend.
Donor was an independent and responsible child. She has remained so to this day, she takes on many obligations. She prefers to do everything quietly, without noise, by herself. She has demonstrated organizational and leadership qualities - she was the class president and the organizer in the team. Communication with friends is important to her, but she does not like large and noisy companies. A couple of reliable, close friends are enough for her. She needs time to get closer to new people. She is balanced, calm, sensible. She has always been hardworking, conscientious. She studied excellently. She was engaged in drawing, dancing. She is creative, musical.
Since childhood, she dreamed of doing aerial gymnastics, but only now, in adulthood, she began to bring it to life. Now her hobbies are fly yoga and gymnastics.
After graduating from school, she began to get a law degree, but later realized that this area was not interesting to her.
She took a leave of absence. She got married, gave birth to a son. And after the maternity leave she entered another university and received a higher education in economics.
Now she works as an administrator in 2 bakeries.
She considers her career growth to be her achievement - she has gone through a difficult path from an ordinary waiter to the manager of bakeries. And of course, the birth of a child.
Her special feature is sociability. The donor's friends claim that she is a good friend who can be relied on and trusted. She knows how to listen and not judge. She is balanced herself and, if necessary, can calm others.
She dreams of a big house in which the whole family will live.
She is kind, fair, with a sense of humor. Sweet, beautiful, smart. She shows herself as a balanced, collected, responsible, accurate and punctual person in business. She is well-mannered, intelligent, polite. Persistent, purposeful, ambitious. Instills trust and sympathy during communication. Open and sincere.
