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 about an oocyte donation program. A friend also told her about her donation experience. She decided to become an oocyte donor because, firstly, it is an interesting experience. Secondly, it is a good deed that will help someone become parents. Thirdly, she is also pleased to learn that she is healthy and can be a donor, and will also receive financial compensation for it.
The donor is unmarried. She is the mother of an 8-year-old boy. She proudly says about her son that he is a tall, handsome, athletic boy. He is engaged in martial arts and taekwondo. He has a penchant for exact and mathematical sciences. He is active, open, and sociable.
Her mother also raised her on her own. Her mother is a person with a higher education in banking, worked in this field, and now has her own business - a grocery store. She is a calm person, stress-resistant, persistent and purposeful. For the donor, she is an example of a strong person, ambitious and the kindest at the same time.
Donor was well-mannered, polite, and balanced from childhood. She studied well, had a talent for natural and humanitarian subjects - her favorite are history, biology, chemistry, and Ukrainian. She has creative abilities, attended beadwork and knitting clubs. An athlete since childhood - she was engaged in gymnastics and dancing. It was more her mother's choice, and when she was able to choose for herself, she started playing football.
Donor has 5 cousins, so from childhood she shared their hobbies and interests with them, and football too. In football, she felt that she could express herself, this is a rarer choice for a girl and this attracted her. She also sought to use football to develop her weaknesses into strengths - endurance, attentiveness, and concentration.
After school, she graduated from college and received a secondary education as a physical education teacher. Then she went to university - she received a master's degree in the field of Sports and Rehabilitation.
Football has become the focus of her interests. She is a referee of the Ukrainian Football Association. She also works as a teacher in a sports school, coaches a children's football team.
She considers her achievements to be a well-mannered son, as well as her high level of education and professional fulfillment. She is proud of her position as a referee, as well as her students, whom she coaches.
Her main feature is self-control, self-discipline, restraint and balance in making decisions.
She dreams of a family, of having more children. She also dreams of increasing her level of professionalism, growing in her refereeing career, and opening her own sports club for children.
She strives to be objective, fair, and respect the boundaries of others. It is important for her to be independent. She is strong-willed, ambitious, strong-willed, and resilient.
Donor is sociable, open, direct, and sincere. She is friendly and pleasant to communicate with. She is gentle, sensitive and friendly to those close to her. She is responsible, accurate and punctual. She is purposeful, conscientious and persistent in her studies and work.
