Height, cm: 159 Weight, kg: 60 Blood type and Rh factor: B(II) Rh + Ethinicity: russian Religion: christianity Character traits: Calm, kind, pleasant
Eye color: Brown Eye shape: european Nose: straight Forehead: Medium Face: Oval Freckles/moles: none
Hair type: straight Hair color: Dirty blond Grey hair: no Constitution: mesomorphic (normal constitution) Right-handed or left-handed: Left- handed
LIFE STYLE
Marital status: Married Career field: An accountant Education: Secondary Vocational Languages: Russian, English
Favorite sport: Fitness Play musical instruments: no Hobbies, interests: I love to bake – cakes, biscuits, etc
Why did I become a donor?
To all the future parents out there: don’t worry, persevere, everything will work our and you will have that wonderful baby that you dreamt of!
Preferences
Favorite food: Poultry Favorite color: Blue Favorite season: summer Favorite holiday: My birthday
Favorite book: - Favorite music genre: Pop music Favorite film: Series Pets: None
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; 4 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?; 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