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 should be ready to help one another whenever possible. It brings her joy to think that, thanks to her, others will experience the meaning of parenthood. Someone else will have sincere, kind children—just like hers—and she will be able to bring happiness to others.
The donor is married. She has a 10-year-old son who enjoys football and fishing. He is athletic, active, and energetic, yet also gentle and kind, and he respects his elders.
The donor shares a warm, friendly relationship with her parents. Her mother is a primary school teacher—an emotional, sensitive, and caring person who has always been loving and gentle toward the donor.
As long as the donor can remember, her father has held leadership positions. He is a generous and protective man who serves as a pillar of support for his family; he is decisive, reliable, and level-headed. The donor is very close to her father—he is the first person she calls for support in any crisis.
The donor’s older brother is a military officer commanding a mechanized brigade.
As a child, the donor was well-behaved and obedient. Her fondest memories are of seaside vacations with her parents and brother—trips she looked forward to every summer. She was a good student with a particular passion for biology, likely because she admired her teacher. She also took dance classes; she is graceful and artistic, with a natural sense of rhythm, and continues to attend dance classes to this day. In her free time, she enjoyed the company of friends, outdoor walks, and active, energetic games.
After finishing school, she continued her education at the College of Food Technologies, where she earned a "Junior Specialist" qualification specializing in sugar production.
Initially, she worked in production within her field of study. However, after returning from maternity leave, she changed her career path.
She currently works as an accountant in the spare parts write-off department of an agricultural company.
A defining trait of hers is a love for cleanliness and order; she believes that everything should have its proper place.
She considers the recent purchase of a car she had long dreamed of to be a personal achievement.
Her greatest wish is for her brother to return from the war soon; she thinks about this every day. Everything else consists of plans and goals that can be realized.
Those close to her describe her as energetic, kind, sincere, open, genuine, and sociable. She agrees with this assessment and adds that she values fairness, loves to travel, and is easy to get along with. She also knows how to stand up for herself and defend her own opinion.
The donor is responsible, punctual, and precise in her dealings. She is goal-oriented, ambitious, and hardworking. She is self-reliant, independent, and strong-willed, yet kind, sincere, and open. She is positive, optimistic, and has a sense of humor.
