Height, cm: 155 Weight, kg: 568 Blood type and Rh factor: 0 (I) Rh + Ethinicity: russian Religion: christianity Character traits: Calm, balanced, quiet
Eye color: blue Eye shape: european Nose: straight Forehead: normal (straight) Face: oval Freckles/moles: no
Hair type: straight Hair color: dirty-blonde
Grey hair: no Constitution: mesomorphic (normal constitution) Right-handed or left-handed: right-handed
LIFE STYLE
Marital status: married Career field: Sales representative Education: secondary Languages: russian
Favorite sport: Swimming Play musical instruments: no Hobbies, interests: Travelling
Why did I become a donor?
I want to help people who can’t get pregnant.
Preferences
Favorite food: Soups Favorite color: Blue Favorite season: summer Favorite holiday: New Year's Eve
Favorite book: Don’t really like reading Favorite music genre: Any kind of music Favorite film:Comedies Pets: a cat
Information about children
Children: 2 Sex: boys 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 (only on special occasions)
Do you have allergies? If you do, please, specify; To citrus fruit
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