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 treats the donation as a charitable cause. The donor's mother shared with her the experience of her own participation in the IVF program, the donor was impressed and she decided to do a good deed, help others, and not be indifferent.
The donor is unmarried, raising her daughter alone, who is now 7 years old and attends first grade. She is an interesting, friendly, sensible and inquisitive girl. She goes in for sports, draws, and attends additional English classes.
The donor's parents are divorced, but everyone in the family has friendly, warm, close relationships with each other. He has a younger sister.
The donor's mother is strong-willed, proud, emotional, but kind, sensual, and caring.
The father is very kind, always calls the donor "my Star", gentle, close, understanding, supportive, and reliable.
Donor was an inquisitive, active, energetic child. She has a keen sense of justice, cannot remain silent when someone is offended. She studied well and easily, was interested in chemistry. She was versatile, had a thirst for everything new. She was professionally engaged in dancing, visited the pool, was engaged in drawing, liked to experiment, mix colors. Sociable, open in communication. She had many friends with common interests for communication, walks. She always showed leadership qualities, easily knows how to agree with almost anyone.
After the 11th grade, she entered college, where she received a secondary specialized education in the profession of a pastry chef. But she realized that this was not an interesting business for her. She likes working with people, she does not feel comfortable in a male team. After the full-scale invasion, she worked in tactical medicine, because it is important for her to be useful, needed by others. She currently works as a manager at a service station, she strives to be in a leadership position, and considers herself a good leader.
She considers it her own achievement that she has not lost her kindness, humanity, sincerity, despite different life circumstances.
Her special feature is the ability to have an adequate life position, to have her own point of view, to adhere to her life principles and values.
She dreams of creating a happy, reliable, loving family.
The donor is fair, knows how to adequately assess the situation, make a decision. She is kind, reliable, supportive. She considers herself a good person who can be relied on, who can be trusted. She is decisive, persistent, courageous, effective, strong-willed. Always ready to come to the rescue, solve a problem, protect. Hardworking, ambitious. Knows how to adapt to various new conditions of reality, not to give up, to be strong in spirit. In communication, she is direct, open, sociable. She is self-confident, has high self-esteem, believes in her own strength.
