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Sperm donor application form

A sperm donor application form is used by sperm banks and fertility clinics to collect information from prospective donors. The form typically includes questions about the donor's medical history, genetic history, and personal information. The form will also ask for information about the potential donor's sperm, including the donor's sperm count, motility, and morphology.

Time to complete

3 minutes

Eligibility

The donor must be between the age of 21 and 45 years. The donor must agree to sign all the legal documents required for this process.

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Questions for Sperm donor application form

1.

Name

The answer should be a text input.
2.

Date of birth

The answer should be a date input.
3.

Address

The answer should be a text input.
4.

Phone number

The answer should be a phone number.
5.

Email address

The answer should be an email input.
6.

Occupation

The answer should be a text input.
7.

Highest level of education

The answer should be a text input.
8.

Do you have any medical conditions that could affect your fertility?

The answer should be a single choice:
  1. Yes
  2. No
9.

Do you have any hereditary conditions that could be passed on to your children?

The answer should be a single choice:
  1. Yes
  2. No
10.

Do you have any sexually transmitted diseases?

The answer should be a single choice:
  1. Yes
  2. No
11.

Do you use recreational drugs?

The answer should be a single choice:
  1. Yes
  2. No
12.

Do you have any allergies?

The answer should be a single choice:
  1. Yes
  2. No
13.

Do you have any physical abnormalities?

The answer should be a single choice:
  1. Yes
  2. No
14.

Are you comfortable with undergoing a medical examination?

The answer should be a single choice:
  1. Yes
  2. No
15.

Are you comfortable with providing a sample of your DNA?

The answer should be a single choice:
  1. Yes
  2. No
16.

Do you understand that by donating your sperm you will not have any legal rights or responsibilities over any children that are born as a result?

The answer should be a single choice:
  1. Yes
  2. No
17.

Do you understand that you will be required to sign a legal contract prior to donation?

The answer should be a single choice:
  1. Yes
  2. No
18.

Do you understand that you may be contacted by any children conceived as a result of your donation in the future?

The answer should be a single choice:
  1. Yes
  2. No

Similar Ideas

  • Egg Donor Application Form
  • Embryo Donor Application Form
  • Surrogacy Application Form
  • Adoption Application Form

Here are some FAQs and additional information
on Sperm donor application form

How long does it take to become a sperm donor?

The process of becoming a sperm donor can vary depending on the sperm bank or fertility clinic you use. However, it typically takes around two to three months from start to finish.

How often can I donate sperm?

Most sperm banks and fertility clinics have a limit on how often you can donate sperm. This is usually between once per week to once every two weeks.

How is sperm donation compensated?

Compensation for sperm donation typically ranges from $35 to $100 per donation. However, some sperm banks or fertility clinics may offer higher compensation for donors who meet certain criteria, such as having a high sperm count or being of a certain ethnicity.

What are the health risks of sperm donation?

There are very few health risks associated with sperm donation. The main risk is the possibility of contracting a sexually transmitted infection (STI) if you have one.

Is sperm donation legal?

The donor should give his consent before any kind of donation is accepted at a clinic. The donor has to be anonymous to the woman or couple to whom the sperm is being handed over; however, the clinic should keep a record of the donor's details.

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