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 learned about the donation program from a friend, she became interested, learned more information about it. She understood that it was a good deed, that it helps some people become parents, fulfill their long-standing dream. Therefore, she joined the opportunity to be useful to others, to feel that she helped someone.
The donor is married, raising a 5-year-old daughter. The daughter happily attends kindergarten, loves communicating with peers, because she is a sociable, cheerful, active child. She shows leadership qualities, gathers and organizes girlfriends around her in kindergarten. She has a well-developed memory, understands the word "no", compromises, makes agreements. She attends choreography classes. The donor believes that it is important to have close contact with the child, mutual understanding, trust, the ability to negotiate. It is also imperative to fulfill the promises that he made to the child.
The donor's parents live nearby, they have a strong, supportive family. They have their own tradition – every Christmas they all gather together at one table at their parents’. The donor has a sister who is 7 years older than them and has her own family, two sons.
The donor’s father is kind, gentle in character, never raised his voice, treated “his girls” with tenderness and care, called his daughters “my princesses”.
Mom is stricter, but fair. She explained everything, taught, agreed with her daughters about following the rules. Also loving, caring, loyal.
The donor remembers her childhood as fun, happy, and rich. She liked to spend more time with her dad, time with him was full of jokes, kindness, and walks. Dad's most delicious specialty is fried potatoes, it's like a "holiday", and the whole family took part in cooking and eating. She warmly remembers vacations with her mom at the sea, in nature, on the lake.
She studied excellently. She easily mastered mathematics and exact sciences. As she got older, she fell in love with reading books. She believes that she was lucky with a friendly team in the classroom. She was a sociable, friendly child. Since childhood, she has demonstrated organizational skills. She was engaged in dancing for several years. She loved to try herself in something new, to gain new experience. Her mother always told her that only by trying different things can you find your own. This motivated her.
The donor's father is a turner, so the donor understands technical drawings well, she has been looking at them since childhood, studying them with interest. That is why after the 9th grade she studied at a technical college. After that she continued her studies at the university. She has a higher education - an engineer of building systems and structures.
Now she works as a design engineer in a construction company.
The donor has known her husband since childhood, from a common company of friends. They met, then got married. They were in no hurry to have children, they wanted to first achieve something in their profession, in household support, to be together, to travel. When they felt that they were ready to become parents, they planned a pregnancy, prepared for new social roles, consciously approached the examination and a healthy lifestyle. They have been together for about 10 years. For the donor, her husband is a close person, he is both a partner, a best friend, and a loved one.
Her special features include her developed intuition, attention to detail, and ability to analyze.
Her achievements include her position, higher education, and financial independence. As well as her family and close relationships within it.
She dreams of providing a happy present and future for her family, children, and loved ones.
The donor is a positive, optimistic person with a sense of humor. She is friendly, compassionate. Sociable, but for her small circle of friends. To become closer and more open with a new person, she needs time to get to know, communicate, and form a sense of trust. She is a balanced, calm, and self-sufficient person. She treats agreements responsibly and punctually. When making decisions, she is usually prudent, weighs possible options, and does not act impulsively. In her studies and professional activities, she shows herself to be a persistent, hardworking, and purposeful person. She strives for constant development and the realization of her own ambitions.
Donor tested for over 100 genes.