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 saw an advertisement on a social network, where they talked about the oocyte donation program. She also thought about it because her friends from her environment cannot conceive a child, and she sees and feels how difficult it is for them. That is why she decided to help someone become parents.
The donor is married, she and her husband are raising a son, who is now 9 years old, and a daughter, who is 5 years old. She has lively, active, energetic children. They are sociable, socially active. The eldest plays football, is fond of mathematics, and participates in Olympiads. The daughter loves to draw and dance.
She talks about her parents' family with warmth and love. The donor's mother is a talented seamstress. She is hardworking, diligent, and strives for the best for herself and her children all her life. She is caring, kind, and gentle.
Dad is a firefighter, so he is a strong, brave, courageous man. He is economical, attentive, reliable, confident. He knows how to provide for and protect his family. He is smart, he is fond of technology and its arrangement.
The donor has a younger sister, with whom they have a friendly, close relationship.
The donor was a balanced, well-mannered, obedient child. She studied well, at first it was difficult to learn the language, but she decided to improve it. She attended various creative circles - beadwork, music, drawing. She was engaged in dancing. On vacations she loved to go to the village to her grandparents, where friends and cousins gathered, with whom the donor had fun spending time - both walking, chatting, and helping her grandmother with the housework.
After the 9th grade, she entered a pedagogical college, and then a pedagogical university.
During her studies, she worked in a kindergarten, she liked working with children. She has a higher education, a master's degree - a teacher of Ukrainian language, literature and English.
She also worked at school for some time after her studies. Gradually, she became interested in the beauty industry, completed courses, attended various trainings and seminars. And gradually changed her field of activity radically - now she is a master of perms. Her work is now a pleasure for her.
She dreams of organizing her own business in the beauty industry, being successful, financially independent. To buy her own car, a house.
Donor has a hobby - knitting toys, it helps her relax, unwind after hard days, focus on her feelings, and create beauty.
Her specialty is perseverance. She goes to the end, nothing can stop her if she decides.
She considers her own constant development, self-improvement, and moving forward to be her achievement. Her courage, she was not afraid of significant changes in her profession, for example.
Donor is a reliable person, her loved ones know that no matter what happens, she is always there, ready to help and support. She is independent, persistent and stubbornly moves forward. Successful, but behind this is titanic work.
Donor is strong in spirit, self-confident, ambitious. Has a realistic outlook on life, pragmatic. Responsible, hardworking, conscientious. Open in communication, but polite and well-mannered. Prudent, intelligent.
