Donner Form

1
Are you donating eggs or sperm?* This field is required.
Please Select
Please Select
eggs
sperm
2
What is your birth year?* This field is required.
date
年
月
日
3
What is your ethnic origin?
4
What is your height (in cm)?
5
What is your weight (in kg)?
6
Did you complete high school?
YesNo
7
Have you completed undergraduate/college?
YesNo
8
Please provide the name of your university or college
9
What languages do you speak?
10
Do you have any exercise habits or sports experience?
11
What is your occupation?
12
Do you have any long-term health conditions or serious illnesses?
13
sample photosサンプル写真はこのようになります。幼少期のお写真もあると、ドナーを探す側にとってはとても魅力的です。
14
Upload photos of yourself１０枚以上の写真を掲載するとマッチ率が大きく上がる傾向があります。写真選定はベターフリーズ側で実施可能なため、順不同で複数枚アップロードいただければと思います。
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
15
Tell us about your mother:
Mother's education
Mother's occupation
16
Tell us about your father:
Father's education
Father's occupation
17
Describe yourself as a child.If it's difficult to write, you may skip this.
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Ok
Ok
18
What was it like growing up in your family?If it's difficult to write, you may skip this.
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Ok
Ok
19
How would you describe your personality?If it's difficult to write, you may skip this.
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Ok
20
How do you think others would describe you?If it's difficult to write, you may skip this.
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Ok
Ok
21
Contact Info* This field is required.These are for our communication purposes and will not be disclosed in the donor profile.
name
email
Should be Empty:

Donner Form