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 | Yes |
| 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:
The donor believes that donation is a good cause in which she can participate and also make her contribution, so that another family has the opportunity to have children, so that another couple becomes parents. It is also an additional opportunity to undergo a full comprehensive examination and receive financial compensation.
The donor is unmarried, raising a 7-year-old son. He is engaged in dancing, football and is studying English in depth. He is interested in everything, he wants to try everything, so she supports him and gives him this opportunity - to find what he likes best.
The donor has a friendly, trusting and close relationship with his younger sister. She is a teenager, currently living with her and her son, because she is so close to school. And her parents are almost never at home, since her father is a military man and her mother works a lot. The sister is of a "difficult" age, and the donor is an authority for her, whom she wants to emulate, whom she trusts and is ready to listen to and negotiate. In addition, the donor was recently a teenager herself, so she can understand her, feel her condition, and find the right words.
Donor has been active, sociable since childhood, but behaved obediently, politely, and well-mannered. She studied well, was interested in chemistry and physics. She was fond of history and English. Studying was easy and interesting for her. She was engaged in dancing, wrestling, and self-defense training. She likes to read books. She usually spends her free time actively, in sports, and in the company of friends or family.
After school, she entered college, and in the first days of the school year she found out that she was pregnant. She was scared, she did not understand what to do. Her grandmother supported her the most at that moment, which she recalls with gratitude. She became a mother at 16, but she coped with everything - she continued her studies, received an education, went to work early and provided for herself with a child.
The donor has a secondary specialized education in the specialty of Seamstress, but is not currently interested in this profession, has no experience, and does not want to work in it.
Her hobby is reading books, sometimes she can get carried away and read almost all day.
Her special feature is patience and balance, the ability to resolve misunderstandings without conflict.
Her main achievement today is motherhood. She is a good mother, a young mother. She is proud that at 23 she has an almost adult son.
And she is also proud that she recently bought a car on her own.
She dreams of traveling, seeing the world, different countries, cultures.
Donor is a calm, friendly, yet sociable person. She has many friends, acquaintances, seeks interesting communication, to be in the circle of attention. She considers herself honest and fair.
She likes to be a leader, manage, organize people around her. Therefore, she loves her job - she was appointed a senior waiter, they listen to her, she can share her own experience, train younger colleagues. She is persistent, hardworking, purposeful, ambitious. She is a strong person, strong-willed, knows how to cope with difficulties. Donor is sweet, pleasant to talk to, and talkative.
Donor tested for up to 100 genes.