Height, cm: 173 Weight, kg: 82 Blood type and Rh factor: A (II) Rh + Ethinicity: russian Religion: christianity Character traits: Warm, kind, organized
Eye color: Brown Eye shape: european Nose: Medium Forehead: Medium Face: oval Freckles/moles: Some
Hair type: Straight Hair color: Chestnut Grey hair: no Constitution: mesomorphic (normal constitution) Right-handed or left-handed: right-handed
LIFE STYLE
Marital status: Married Career field: A chef Education: Secondary Vocational Languages: Russian, English
Favorite sport: Fitness Play musical instruments: no Hobbies, interests:I love to swim
Why did I become a donor?
I would like to wish health to future parents, so that everything works out for you, so that that important stage in your life - pregnancy - comes as soon as possible!
Preferences
Favorite food: Fruit ( apples) and vegetables
Favorite color: Red Favorite season: Winter Favorite holiday: New Year’s Eve
Favorite book: No Favorite music genre: Pop music Favorite film: Too many Pets: A dog
Information about children
Children: 2 Sex: girl and 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; No
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