Height, cm: 165 Weight, kg: 70 Blood type and Rh factor: B (III) Rh + Ethinicity: russian Religion: christianity Character traits: Patient, determined to reach my goals,calm
Eye color: Blue grey Eye shape: european Nose: Straight Forehead: Medium Face: Round Freckles/moles: None
Hair type: Straight Hair color: Chestnut Grey hair: no Constitution: mesomorphic (normal constitution) Right-handed or left-handed: right-handed
LIFE STYLE
Marital status: Not married Career field: Preschool teacher Education: Higher Languages: Russian, English
Favorite sport: no Play musical instruments: no Hobbies, interests: My children
Why did I become a donor?
I wish future parents to have the kind of family they dreamed of. Children are the meaning of our life, so let everyone have a baby in the house.
Preferences
Favorite food: Beef, fish, vegetables Favorite color: Green Favorite season: Winter Favorite holiday: My children’s birthdays
Favorite book: Too many to choose from, I read a lot Favorite music genre: Pop music Favorite film: Don’t watch movies Pets: -
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