Any past or current medical problems (including surgeries, accidents, birth defects, depression, etc.)? If yes, please list.
Yes
Do you wear or have you worn eyeglasses? If yes, at what age did you start wearing them?
Yes
Do you drink alcohol? If yes, how many drinks per week?
Yes
Have you worn braces?
Yes
Have you ever been pregnant? If yes, how many times and what was the outcome?
Yes
Are you currently taking any medication (for physical or mental health)? If yes, what medications are you on and why?
Yes
Have you ever been a donor before? If yes, did a pregnancy occur?
Yes, No
Are you taking any recreational drugs? If yes, what are you taking?
Yes
Where did you grow up?
Spanish / ItalianSpanish / Italian
Do you smoke?
Yes
Being a donor is a big responsibility. It requires going to several doctor's appointments, taking injections and having minor out-patient surgery. Do you feel prepared to commit to this process?
Helping others has always been a priorityHelping others has always been a priority
Are your menstrual cycles regular? If no, please explain.
Yes
