Height, cm: 164 Weight, kg: 57 Blood type and Rh factor: B (III) Rh+ Ethinicity: russian Religion: - Character traits: emotional, friendly, decisive, romantic, hard-working, artistic
Eye color: green Eye shape: european Nose: straight Forehead: normal (straight) Face: oval Freckles/moles: yes
Hair type: wavy Hair color: dirty-blonde Grey hair: no Constitution: mesomorphic (normal constitution) Right-handed or left-handed: right-handed
LIFE STYLE
Marital status: single Career field: construction Education: higher Languages: russian
Favorite sport: ice skating Play musical instruments: no Hobbies, interests: crochet, sewing, stitching
Why did I become a donor?
When my first child was born, my life changed in the way I could’ve never imagined. My children are the meaning of life for me. My family has good genes, so I thought I could become a donor and help some family to become parents.
Preferences
Favorite food: fruit Favorite color: blue Favorite season: summer Favorite holiday: 8 March
Favorite book: “Sherlock Holmes” stories by Sir Arthur Conan Doyle Favorite music genre: jazz Favorite film: - Pets: a cat
Information about children
Children: 2 Sex: boy 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?; Rarely
Do you have allergies? If you do, please, specify; Food allergy
Do you take prohibited substances?; No
Have you ever had blood transfusion?; No
Have you ever been hospitalized?; Yes
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