Height, cm: 174 Weight, kg: 75 Blood type and Rh factor: A (II) Rh+ Ethinicity: russian Religion: christianity Character traits: -
Eye color: brown Eye shape: european Nose: straight Forehead: normal (straight) Face: oval Freckles/moles: yes
Hair type: wavy Hair color: chestnut-haired Grey hair: no Constitution: mesomorphic (normal constitution) Right-handed or left-handed: right-handed
LIFE STYLE
Marital status: married Career field: a housewife Education: higher incomplete Languages: russian
Favorite sport: running Play musical instruments: no Hobbies, interests: sports (running)
Why did I become a donor?
I became a donor because I wanted to help another woman to become a mother. I wanted to be useful!
Preferences
Favorite food: meat dishes Favorite color: red Favorite season: summer Favorite holiday: New Year’s Eve
Favorite book: “The Master and Margarita” by Mikhail Bulgakov Favorite music genre: classical music Favorite film: “Ladies doctor” Pets: a cat
Information about children
Children: 4 Sex: 3 boy and 1 girl Hearing/vision problems: no Mental health problems/autism: no ADHD/hyperactivity: no
Medical and genetic information
Please assess your dental health by 5-grade scale; 4 of 5
Have you ever worn braces?; No
Do you smoke?; No
Do you drink alcohol? How often?; Never
Do you have allergies? If you do, please, specify; No
Do you take prohibited substances?; No
Have you ever had blood transfusion?; No
Have you ever been hospitalized?; No
Does your family history have twins or triplets?; No
Do you have Ashkenazi Jews as your ancestors?; No
Do you have chronic diseases? If you do, please, specify; No
Do you take any medications? If you do, please, specify; No
Have you or your blood relatives ever been diagnosed with any of the following diseases?
Diseases;Donor;Father;Mother;Brothers;Sisters;Grandfather / On father's side;Grandfather / On mother's side;Grandmother / On father's side;Grandmother / On mother's side