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 | Yes |
| 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:
Having seen the advertisement of the donation program, she became interested. She learned more information about IVF, surrogacy, assisted reproductive technologies. The donor has always been attracted by the latest technologies, the development of science. And she decided to get this interesting, new experience. In addition, this will help other people become parents.
Currently, the donor is not working, in search of herself, new prospects. She wants to understand what she strives for, what is best for her.
She has a higher education - a bachelor of law.
Her hobbies today are sports, playing tennis. She also happily "raises" and takes care of a dog and two cats.
She has been a creative, talented person since childhood - she was engaged in vocals, played the piano, graduated from music school. Now she sings and plays for pleasure.
Her father was a military man. He died in 2022. He was brave, honest, courageous. Like her dad, she always tells the truth, what she thinks, defends her own opinion. For her, he was close, loving, caring.
She has a brother who is 5 years older and has his own family. They maintain friendly, warm relations.
The donor's mother is always cheerful, positive, ideological, and hot-tempered. She is hardworking, active, creative, and a careerist.
She had a wonderful family – her parents gave her and her brother a good education, a happy childhood, supported their ideas, undertakings, and invested everything they had in them. For her, her parents are an example of healthy relationships.
Donor was energetic, active, and athletic since childhood. She was engaged in judo, dancing, and athletics. She studied English in depth, and was fond of music. She was an excellent student, a participant in school olympiads. She loved mathematics and English. She was interested in art, creativity, and acting. She had a wide circle of friends and sought interesting communication.
She easily finds a common language with any person, will find a topic for conversation, and is a pleasant interlocutor. She makes a good impression, is humorous, sincere, open, and talkative in communication. She also shows leadership qualities and can motivate people to achieve a common result. She can be stubborn and does not deviate from her intended goal. She is intelligent, well-mannered, sensible. In relation to others - friendly, loyal, sensitive. Has a positive outlook on life, optimistic, sees good qualities in people first of all.
Dreams of her own house, in which she will live together with her whole happy family, so that her relatives are healthy and happy. Aspires to self-realization.
