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 people, if they have the opportunity, should be ready to help each other. It is nice to think that thanks to her, other people will feel what parenthood is. Someone will also have sincere and kind children like hers, she will be able to make someone happy.
The donor is married, has a 2-year-old daughter, who is an energetic, active, inquisitive child. She is interested in everything new, playful, sociable. They all like to spend their free time actively with their family.
The donor's husband and father are builders, she understands that this is hard work. For her part, she tries to be a support and help for them in everyday matters.
Her father is a man with a strong character, courageous, strong. He is active, strong-willed, persistent and hardworking. Since childhood, she has perceived him as protection, support, reliability.
The donor's mother is a person who loves order, accuracy, neatness. It was her mother who instilled these traits in her, taught her to be a homemaker, to take care of her family and loved ones. For her, a mother is care, love, positivity, and constant support.
The donor was brave, strong-willed, not afraid to defend her opinion even in disputes, to have her own position. She studied normally, has developed mathematical and logical thinking, thanks to her grandmother, who was a mathematician. She was also interested in history. She was engaged in drawing, vocals. In adolescence, she was a "rebel". She can hear and understand the position of another person, but persistently defends justice.
After the 9th grade, she studied at college. As she grew older, she became more balanced, prudent, learned to direct her emotions in the right direction. She received a secondary education with a specialty - Cashier Operator in a bank.
Currently not working, on maternity leave. Plans to consider possible employment options after her daughter's adaptation in kindergarten.
Her special feature is the desire for everything to be the way she wants. If she needs something, it must be here and now. Stubborn and impatient.
Her achievements today are her family, the relationship she has built with her husband, the closeness and mutual value of all her relatives.
She dreams of her own house, of a better future, of opening her own business, of development and self-realization, as well as of better living conditions for her child.
The donor is an emotional, vulnerable, sensitive and sensual person. Friendly, open, sincere, sometimes naive. With loved ones and friends, she shows herself as a reliable, faithful person. She is responsible, persistent, strong-willed. In communication, she is pleasant, talkative, confident in her abilities, with a sense of humor. In life situations, she usually has an optimistic outlook, positive thinking.
