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:
When the donor became a mother, she had a driving force in life. She decided why not help others in realizing such a dream.
The donor is married, has a little daughter of 10 months, who is a healthy, active, playful child.
The donor has a supportive, strong and reliable parental family. The donor's biological father left the country when she was 5-6 years old and was absent from her life. When she was 11, her mother remarried, and she was lucky with her stepfather. He raised her, supported her, and protected her. He gave her the education she wanted so much. He went to a second job to pay for her studies. He taught her and her brother to drive a car, took her to the sea, and taught her various household chores. She calls her stepfather "dad." He is the first person she calls in case of any situation. She is grateful to her parents for everything they gave her, invested in her. Now she also helps them.
The donor's mother is emotional, sometimes even impulsive, sociable, caring, kind, courageous. She has a strong character, strong-willed, strict, demanding. She is the head of the department, has demonstrated leadership and organizational qualities.
Donor is similar to her mother in character, but softer, more accommodating.
As a child, she was active, always wanted to be present, participate in various events, tried different classes, gained experience. She was engaged in rhythmic gymnastics, then in the ballet department. Excellent in studies, was interested in history, law, was good at learning languages.
After the 9th grade, she entered college. An independent student life began. Life in a dormitory, a new team, acquaintances, friends. She liked studying, she is a conscientious, diligent and responsible student. She was the head of the student council. She was the best in her course, so she then worked as an assistant to a notary in a state institution. Then she worked for a lawyer. She received a secondary legal education - junior specialist. She entered university, but the war began, she had to suspend it.
She dreamed of becoming a medical lawyer because she is most interested in medicine and law.
She is currently unemployed, on maternity leave.
The donor's hobby is reading books. She has always read a lot, both now and in the past. She is a versatile person, inquisitive about everything, has a thirst for knowledge and learning. That is why she was successful at work.
She considers buying a car together with her husband to be her achievement. They are "rebuilding" with her husband after losing everything in the war. She also considers her realization in all areas to be an achievement - she is a mother, she is a wife, she is a good specialist.
She dreams of financial stability for her own child, providing her with her own housing.
Her special feature is her sociability. It is easy for her to find a common language with a person of any age, status, or culture.
The donor is emotional, impulsive, cheerful, talkative, but she is a sensitive and friendly person. She is open and sincere in communication. Punctual, responsible, tactful, well-mannered, accurate, and neat. The donor is a positive person, optimistic about the world, and sociable.
