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Additional testing
Work-up
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FAQ
World Marrow Donor Day
Update donor details
Patients
Bone Marrow Transplantation
Searching for a donor
The transplant
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Adult transplant centres
Paediatric transplant centres
ABMDR
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Menu
Donors
How to join
What next
Additional testing
Work-up
Collection
FAQ
World Marrow Donor Day
Update donor details
Patients
Bone Marrow Transplantation
Searching for a donor
The transplant
Recovery
Sharing your story
Adult transplant centres
Paediatric transplant centres
ABMDR
About us
Registry network
Privacy policy
Research
Applications
Lay language
Calendar
Current research
COVID-19 response
COVID-19 BMT Guidance
Annual reports
Contact us
HPC Donor Yearly Follow-Up
Donor family name
*
Donor first name
*
Date of Birth
*
1. How are you feeling physically?
*
Well
Unwell
Is it related to the donation?
No
Yes
If 'yes', please provide details
2. Since we last contacted you, have you been unwell or seen a doctor or any other health care practitioner?
*
No
Yes
Provide details
3. Since we last contacted you, have you taken any medication?
*
No
Yes
Provide details
4. Since we last contacted you, have you had any skin problems?
*
No
Yes
Provide details
5. Since we last contacted you, have you had a serious illness, operation or been admitted to hospital?
*
No
Yes
Provide details
6. Since we last contacted you, have you been diagnosed with any type of cancer?
*
No
Yes
Provide details
Diagnosis
Diagnosis date
7. Since we last contacted you, have you developed an autoimmune disease?
*
No
Yes
Provide details
8. Have you developed any of the following diseases since the last follow-up report?
Systemic lupus erythematosus (SLE, lupus)
No
Yes
Provide details
Rheumatoid arthritis (RA)
No
Yes
Provide details
Vasculitis, inflammation or autoimmune disease of blood vessels
No
Yes
Provide details
Thrombosis, including DVT and thrombophlebitis
No
Yes
Provide details
Multiple sclerosis (MS)
No
Yes
Provide details
Immune thrombocytopaenic purpura (ITP), autoimmune disease of platelets
No
Yes
Provide details
Other autoimmune disorder
No
Yes
Provide details
9. Only for first year follow-up - Have you resumed all your normal physical activity/work?
No
Yes
Provide details
10. Only for second year follow-up - It has been two years since your donation and you will now be re-activated and available for searching. Do you wish to remain on the registry?
No
Yes
11. Are your contact details up to date?
*
Yes
No
Provide details
Additional comments
Date follow-up completed:
Email address
*
Submit
Results