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 has been thinking about donating for a long time and wanted to help someone. She has good genetics, good health and can be useful to someone else. She believes that it is good if someone has a child thanks to her participation in the program, the main thing is that the family is good.
The donor worked as a sales consultant in a clothing showroom, now she has resigned and is actively looking for a new job. She wants to move on and change something in her life. She has a higher education, a bachelor's degree in the specialty of Commodity Analyst.
She grew up in an ordinary, friendly family, in a rural area. She and her sister, who is three years older, were the only girls in the company of neighbor boys. Therefore, her childhood was spent actively, mobile, lively, in nature and in a large company of friends. She could easily climb trees, run races with boys, etc.
The donor studied excellently, had a penchant for exact sciences - mathematics, physics. Therefore, she was enrolled in a math class. She loved sports, played volleyball, and played table tennis. Since childhood, she has been cross-stitching and beading – this is her hobby, which helps her calm down and not worry. Her grandmother also taught her to knit. She loves to read books.
After graduating from school, she entered the university. An interesting student life began. Life in a dormitory, responsibility for studies, greater independence, but these were exciting times for her, which are pleasant to remember.
She is not married, lives separately from her parents in the city. She visits them often, has good, warm, close relationships with them. Mom is the kindest person for the donor, she will first of all take care of her loved ones, and only then will she think about herself. Father is strict, serious, courageous. He is a responsible, hardworking person. The donor is surprised at how many different things he can do with his own hands.
The donor sees her special feature in a positive attitude. She believes that a way out can be found from any situation. She knows how to find the pluses in everything. She is cheerful and optimistic.
As her achievement, she recalls how she once set a goal to work in a company that interested her. She tried several times to pass the selection for an open vacancy. And after a couple of attempts she still got this job.
She dreams of her own house. She also dreams of professional self-realization. And also, to travel and go on a cruise.
Order and accuracy are important for the donor. She is responsible and punctual, does not like to be late. She is kind, cheerful, sweet, pleasant, easy to communicate with. She is an optimist, partly a realist with a sense of humor. Her goal is not to stand still - to develop, gain new experience, learn new things, realize her potential. She is an open, friendly person, sometimes adventurous in her decisions and has the courage to take risks.
Donor tested for up to 100 genes.