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 she is doing a good deed - helping couples who cannot have children, but want to. It is important for her that as a result of her participation in the program, healthy oocytes are obtained. This is a responsible matter. The donor can be useful to others, as well as receive financial reward as support for her and her family.
The donor is married, has a 4-year-old son who is inquisitive, energetic, talkative, playful. He loves communication, easily makes contact with other children. He is active, likes to spend time with his family actively and in sports.
The donor's parents are an ordinary family of railway workers. There is also a younger brother who is currently studying at the university to become a doctor.
The donor's mother is neat, pedantic, cleanliness and order around are important to her. Caring, loving, responsible. Likes to keep everything under control, manage the process.
The father is calmer, balanced, non-conflict. He is reliable, strong, courageous, and will always find an answer to a question or solve a problem.
Donor was a calm, problem-free child in childhood. She could play by herself, engage in creativity. She studied well at school, was active in the social life of the school. She has more abilities for the humanities and natural sciences. She was interested in biology, chemistry. She attended sports clubs, participated in competitions, assemblies. She tried herself in various creative activities, circles. She was engaged in dancing from the age of 4 to 14.
After the 9th grade, she entered a medical college. And after 2 years she entered the university. She liked to study, gain new knowledge, skills. Although she changed the field of study, she liked it.
She has a higher education - Economic Management. Marketing.
She and her husband had known each other since school. And while studying at the university, they started dating. They got married at the age of 18, then a son was born.
They have a common family hobby – they like to travel around the country, see new cities, walk through unfamiliar streets, feel the atmosphere of something new.
Currently, the donor works as a manager for working with employers from European Union countries.
Her specialty, talent, is the ability to cook something delicious when she has inspiration. She likes to do pleasant things, to please her loved ones with something.
For her, the fact that at 24 she has experience in various fields, that she is constantly growing, and is engaged in self-development is her achievement for today.
She dreams of going abroad, traveling with her family. She definitely dreams of seeing the sea and the ocean.
Her loved ones believe that she is reliable, will never refuse help. That she is a non-conflict, kind and understanding person.
The donor is an honest, direct, open person, but she is not conflictual, weighs the words she says to people. She is not afraid to face a problem, believes that there is always a way out. She tries to see the positive and good in people. She is an optimist, thinks, ponders and makes decisions. She is balanced, but businesslike and active. Responsible, hardworking, conscientious, also purposeful and ambitious. Emotionally mature, pleasant and calm in communication.
