Height, cm: 170 Weight, kg: 80 Blood type and Rh factor: B (III) Rh + Ethinicity: russian Religion: christianity Character traits: I am artistic, adaptable
Eye color: Blue grey Eye shape: european Nose: Humped Forehead: Medium Face: Oval Freckles/moles: yes
Hair type: Wavy Hair color: Dirty blond Grey hair: no Constitution: mesomorphic (normal constitution) Right-handed or left-handed: right-handed
LIFE STYLE
Marital status: single Career field: technician Education: Secondary Vocational Languages: russian
Favorite sport: Fitness, volleyball Play musical instruments: no Hobbies, interests: Volleyball, swimming, dancing, making flower arrangements
Why did I become a donor?
There is nothing in this world more important than family. I have experienced joys of motherhood and I want to share that gift with you.
Preferences
Favorite food: Vegetable soup, pickled herring
Favorite color: Blue, black Favorite season: summer Favorite holiday: My mother’s birthday
Favorite book: “Poverty of the brain” by S.V. Saveliev Favorite music genre: All kinds of music Favorite film: “The Legend” Pets: I like parakeets, rats, dogs, but have a cat
Information about children
Children: 1 Sex: 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; 5 of 5
Have you ever worn braces?; No
Do you smoke?; No
Do you drink alcohol? How often?; No
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