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Sperm donor interview

Siemennesteen lahjoittajan lomake EN

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Personal Data

Physical characteristics and ethnicity

About being a donor

Genital organs

Pregnancy history

State of health

Medication

Stimulants

Illnesses and diseases in your immediate family

motherfathersisterbrotherown childgrandparent
arterial hypertension
diseases of the respiratory system
diabetes
rheumatic or connective tissue diseases
kidney diseases
epilepsy
multiple sclerosis
other neurological diseases