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 donation is a good cause in which she can participate and also make her contribution so that another family has the opportunity to have children and become parents.
The donor is married. She is the mother of two sons - the eldest is 10 years old, the youngest is 8 months old. She characterizes the eldest son as a calm, polite, not capricious boy. He is good at learning English, goes in for sports, attends various clubs. The youngest son is a healthy, active baby who is developing quickly and learning about the world.
According to the donor, she is more like her dad. He is calm, with a good sense of humor, friendly, open, has a soft, kind character. The donor knows that he can always count on his father's support.
The donor's mother is more serious, strict, collected, responsible. She was the person in the family who taught him discipline, punctuality, and responsibility for his actions. She is caring, ready to help, support, motivate.
The donor has a large, friendly family, traditionally gathering for holidays in the family circle. She has an older sister and two younger brothers, who are all adults and have their own families.
Donor was calm, gentle, kind, well-mannered, obedient in childhood. She was a child with whom there were no conflicts or problems. Donor has a keen sense of justice, so in such situations she stands up for herself and others. She has creative abilities, an artistic taste, so since childhood she was engaged in needlework - she embroidered with beads, drew, sculpted. She played volleyball with her friends, sports are always present in her life. She studied well, was interested in history, literature, and learning languages. She loved to read books. She grew up in a village where she had a company of friends for communication and walks. She always helped her parents with the farm.
After the 11th grade, she entered a vocational school. It was an exciting student life - new friends, authoritative teachers, interesting studies, gaining practical experience, etc.
She received a secondary specialized education as a pastry chef. She works in a bakery baking muffins.
Her most important achievement is her children, her family, and all the good things that will happen to her.
She considers her special feature to be an insatiable sense of justice. She cannot remain silent when her loved ones, relatives, friends, and other people are offended. She believes that one should be guided by one's conscience in life, act with respect for others. Also, her special feature is her hard work, determination, and conscientiousness in the obligations undertaken.
She dreams of having the opportunity to travel, see the diversity of countries, cultures, architecture, etc. Of course, she dreams of a happy future for her children, a good education for them, and a promising job.
A donor of good, cannot be indifferent to another person's pain, is ready to come to the rescue, cannot stand aside from injustice, a defender of the weak. She is pleasant in communication, open, sincere. She is characterized by such traits as punctuality, responsibility, and perseverance. She is hardworking, conscientious, and diligent at work. She is an empathetic person, sensitive, friendly, and understanding.
Donor tested for up to 100 genes.