Height, cm: 157 Weight, kg: 50 Blood type and Rh factor: AB (IV) Rh+ Ethinicity: russian Religion: christianity Character traits: kind and caring person
Eye color: brown Eye shape: european Nose: saddle Forehead: normal (straight) Face: round 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: single Career field: teaching assistant Education: secondary vocational Languages: russian
Favorite sport: atletics Play musical instruments: no Hobbies, interests: children
Why did I become a donor?
I became a donor to help people. Children are true happiness. I want every family to have it!
Preferences
Favorite food: potatoes, pasta, meat, fish Favorite color: pink Favorite season: winter, summer Favorite holiday: New Year’s Eve
Favorite book: - Favorite music genre: pop music Favorite film: “The Untouchables” Pets: a dog
Information about children
Children: 2 Sex: boy and 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?; Rarely
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