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 participates in the program because he believes that such a program is a good idea. That you can give other people what they dream of. Someone cannot become a mother, and you will “share”.
The donor is divorced. She has two children – a 6-year-old son and a 4-year-old daughter. Her son is a calm, quiet child. He can interest himself in something, play. Gentle, kind. The daughter, on the contrary, is talkative, sociable, active, emotional.
The donor’s mother is a salesperson by profession. By nature, she is calm, balanced, non-conflict. She is always ready to support, come to the rescue, listen, understand.
The father is balanced, strong, brave, courageous. He is a support, reliability and protection for his loved ones.
In childhood, the donor was a calm, kind, playful child. She studied well at school, was interested in chemistry, biology, and medicine. She was independent, responsible, and conscientious in her studies. She studied easily and with interest. She participated in various performances and competitions, won prizes, and studied vocals at a music school.
After school, she entered medical school, where student life was bright and exciting. She won the Miss Beauty contest there, was not afraid to participate in various performances and amateur performances. Sociable, open to new experiences, active.
She received secondary medical education - paramedic, obstetrician.
She currently works as a dental assistant in a dental clinic. She likes this work, it gives her the opportunity to develop and grow.
She considers driving a car to be her hobby. She enjoys driving, driving around the city or outside it. This helps her switch and get emotionally recharged.
Her special feature is her sociability, her ability to find a common language with any person, the ability to meet new people, and present herself.
She considers having children to be her greatest achievement. She is a young mother, and her children are the best she has.
She dreams of a job that will "burn her", of development, of improvement, of achievements in work, in her personal life.
Her mother says about her that she is very active, restless and energetic. Donor considers herself a simple person. She does not demand from others what she cannot do herself. She is inquisitive, has an interest in many things, and seeks new experiences.
Donor is smart, sensible, intelligent. She is an active person, purposeful, energetic, and has her own ambitions. She is emotional, sensual, sociable, and sincere in communication. But when she needs to get what she wants, she can resort to tricks. She is friendly and positive.
Donor tested for up to 100 genes.