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 knows from friends and acquaintances about stories when couples cannot conceive a child, or use IVF programs to get the desired pregnancy. The donor always wanted to help others. She wanted to be both a blood donor and a bone marrow donor. It is not so difficult for her, but a great good for others.
The donor is married. She has a 2-year-old son, who is balanced, well-mannered, active. He is interested in dinosaurs, ships, the marine world, etc. The donor prefers to spend quality time with the child - sports, active recreation, drawing, creativity, interesting games.
The donor's parents are divorced, each has new families. But everyone maintains warm and good relations, communication. The donor is the oldest in the family, has a sister and a brother and a half-sister. They communicate, go to the cinema, the theater, or to some interesting game.
Donor was a calm, obedient, well-mannered child. She was shy, needed more time to get used to a new person, trust and feel more comfortable. She studied well, was interested in history, loved physical education. She likes to spend her free time reading books or going for walks. She organized a book club with her friends, liked to watch an interesting movie together, discuss new events, etc. She dreamed of being a lawyer or psychologist, being useful to people.
After school, she entered the law academy. Student life taught her greater responsibility, resilience, and sociability. She liked swimming, physical and fire training there. She became more independent and strong-willed.
Donor has a higher education - Master of Laws. She is currently on maternity leave. In 2022, she was mobilized, was a military serviceman. Now she still helps colleagues as a lawyer-administrator.
She wants to go back to university and get a higher education in Psychology. She dreams of working with children.
Currently studying an advanced course in Ukrainian, seeks to improve her skills.
Her hobby is growing houseplants. All the windowsills in her house are covered with greenery. She likes to plant, care for, and watch it grow. Her hobbies include reading books and painting with oil paints.
The donor considers her achievement to be living a life she likes, having a family, and a healthy child.
Her special feature is her emotionality, but at the same time she is balanced, kind, and sensitive.
The donor is stress-resistant, courageous, strong, and strong-willed. She is an emotional, sensual, and sensitive person, but she knows how to listen to her mind. She knows how to make decisions, persevere towards her goals, and fulfill her obligations responsibly. She can also calm people around her, help them focus and gather themselves. She is positive, has a good sense of humor, is sociable, and friendly. Confident in her own position and opinion, which she can defend. Serious, collected and conscientious in her work and affairs.
