Sperm donor questionnaire

Answer a few short questions to see if you comply with our initial requirements for Genea Sperm donors.

1. How old are you?:




2. How many women have you had a baby with?:



3. If you have a partner, would they be willing to attend the counselling appointment with you?:


4. Have you ever donated sperm before?:

5. Are you able to donate in Sydney or Wollongong?:

6. Are you willing to be identified (and potentially contacted) once any offspring reach the age of 18?:

7. Are you a smoker?:

8. How many alcoholic drinks do you have a week (on average)?:



9. Do you take any recreational drugs?:

  Calculate
 
  • Application progress
  •  
  • 10% : 1 of 10

Thank you for your interest in becoming a Genea Sperm Donor and for completing the application. Please provide us with your name and contact details and our Donor Coordinator will be in touch as soon as possible to discuss next steps.

Please enter your full name
Please enter your email address
Enter a valid phone number
  Submit

Thank you for your very kind consideration and time, but sadly you do not meet our requirements as a Genea Sperm donor at this point.

Thank you for your very kind consideration and time, but sadly you do not meet our requirements as a Genea Sperm donor at this point.

Thank you for your very kind consideration and time, but sadly you do not meet our requirements as a Genea Sperm donor at this point.

Thank you for your very kind consideration and time, but sadly you do not meet our requirements as a Genea Sperm donor at this point.

Thank you for your very kind consideration and time, but sadly you do not meet our requirements as a Genea Sperm donor at this point.

Thank you for your very kind consideration and time, but sadly you do not meet our requirements as a Genea Sperm donor at this point.

Thank you for your very kind consideration and time, but sadly you do not meet our requirements as a Genea Sperm donor at this point.

Thank you for your very kind consideration and time, but sadly you do not meet our requirements as a Genea Sperm donor at this point.

Thank you for your very kind consideration and time, but sadly you do not meet our requirements as a Genea Sperm donor at this point.

Genea has legal obligations to protect your personal information and to provide you with details about how we deal with this information. Please read our Privacy Policy and Collection Statement.

 

Genea Sperm Bank information iconHave questions?

Contact the Genea Sperm Bank team on info@geneaspermbank.com.au or call 02 9229 6458.


 

Disclaimer
Not every person will be a suitable donor to the Genea Sperm Bank. Genea applies strict eligibility criteria for being a sperm donor including to ensure that appropriate health standards are maintained. Genea reserves the right to refuse to accept a person as a donor to the Genea Sperm Bank if it considers appropriate to do so.