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 possibility of participating in the program through advertising on a social network. She was interested in whether she was suitable as a donor. If she was physically healthy and could help with the birth of a child, she would be happy to participate.
The donor is currently in the process of divorcing her husband, she is raising a 7-year-old daughter on her own. The donor talks about her daughter with tenderness and love, saying that her daughter is the main motivator in her life, her joy and happiness. She is an active, emotional, stubborn girl. She is sociable, open, sincere, sees only positive traits in people, believes in the best. She likes to study, learn new things, achieve her goals, and get what she wants.
The donor's parents' family is large, there are six children, the donor is the middle child. Her mother and father worked on a farm all their lives. Her father died when she was 12 years old. For her, this was a traumatic and difficult moment in her life. She couldn't speak for 5 days, then she visited a psychologist to recover. She and her dad were close, she loved to play with him, talk about various life topics, and confide in him her secrets.
The donor's mother is a kind, patient, loyal person. She is caring, sincere, sociable. She is constantly on the move, hardworking and conscientious.
When the mother remarried, her relationship with her stepfather did not work out, and she was sent to study at a boarding school. She spent time at home only during the holidays.
She matured early, from childhood she was responsible and persistent, she sought to achieve something in order to have prospects in the future. She was obedient, well-mannered, non-conflict. She studied well, was a conscientious student. She was more interested in learning languages, reading books, and creativity. From childhood she learned to be independent, to be responsible for herself and her actions. But she was a kind, sociable, open child. She tried to understand others, to help those who needed it.
The donor has a secondary education in the specialty of Computer Operator, Secretary-Reference. After school, she entered university to study Economics and Management. But after the second year, she left her studies because she got married and gave birth to a daughter.
Now she works as a sales floor administrator in a store.
She considers her main achievement to be that she is a wonderful mother. She also achieves everything in life herself - she was able to reach the sales floor administrator from the lowest level in the store. She is financially independent - she supports herself and her child.
She dreams that her child will be a good person. She dreams of her own house, in which she will live with her family and be able to have a dog. She also dreams of traveling to different countries of the world.
Her special feature is her kindness, empathy, sensuality. Also in honesty, she believes that it is better to tell the truth than to deceive and be insincere.
Donor is vulnerable and sensual, from childhood she has acutely perceived criticism. Despite certain difficult circumstances in life, she tries to see good, beautiful features in people, to trust others. She knows how to find the right words to build correct and interesting communication. She is honest, straightforward, and decent. Purposeful and hardworking in her studies and work.
Donor tested for over 100 genes.