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 demonstrated a high level of psychological maturity, social adaptability and personal harmony. The emotional state during the consultation was stable. She behaved naturally, openly and confidently, maintained a productive dialogue, listened attentively to the interlocutor, consistently expressed her own thoughts and did not show signs of internal tension or psychological discomfort.
The personality is characterized by a developed system of moral values, a humanistic orientation and a high level of social responsibility. The donor easily establishes interpersonal contacts, is open to cooperation, friendly and sincere in interaction with others. In relationships, she seeks mutual understanding, respect and support, is not prone to conflict behavior, demonstrates the ability to compromise and constructively resolve life situations.
Family plays an important role in her life. She speaks with great respect and warmth about her mother, with whom she maintains a deep emotional connection. Despite her adult age, family values remain significant for her and determine her attitude towards people. The donor grew up in an atmosphere of care and mutual support, which contributed to the formation of a high level of empathy, emotional sensitivity and the ability to build healthy interpersonal relationships. Good relationships with her brother and sister also indicate her focus on maintaining close emotional ties and the ability to maintain trusting relationships.
As a mother, she demonstrates a high level of responsibility, care, and emotional involvement in raising her child. She is aware of her own role in shaping her son's personality and strives to create conditions for him in which he will feel happy, protected, and accepted. Her educational position is based on love, justice, respect for the child's personality, and a willingness to support him at every stage of development. She demonstrates a mature attitude toward motherhood, knows how to combine caring for her family with her own professional development and personal goals.
The donor is an active, purposeful and self-realized person. Open to learning, enjoys learning new professional skills, and strives for development and improvement. Her desire to open her own studio indicates a developed strategic thinking, the ability to plan for the future and take responsibility for her own professional growth. She is positive about changes, easily adapts to new conditions, and is not afraid to go beyond the usual.
Her motivation to participate in the donation program is intrinsically motivated, conscious, and emotionally mature. Her decision was based on the desire to help people facing infertility, not just to receive material rewards.
The donor is characterized by high stress resistance, a sufficient level of self-control, responsibility, emotional maturity, and the ability to effectively adapt to new life circumstances.
