Height, cm: 162 Weight, kg: 52 Blood type and Rh factor: A (II) Rh + Ethinicity: russian Religion: - Character traits:Fun, determined, energetic
Eye color: Grey blue Eye shape: european Nose: straight Forehead: Medium Face: Oval Freckles/moles: yes
Hair type: Wavy Hair color: Dirty blond Grey hair: no Constitution: Ectomorph Right-handed or left-handed: Leftt-handed
LIFE STYLE
Marital status:Married Career field: - Education: Higher Languages: Russian, English
Favorite sport: Running, cycling, skiing
Play musical instruments: no Hobbies, interests: Running, cooking, traveling, sewing
Why did I become a donor?
I wish you great success in your fertility journey!
Preferences
Favorite food: Cheese, spaghetti, mango Favorite color: Blue Favorite season: Spring Favorite holiday: Easter
Favorite book: - Favorite music genre: Rock Favorite film:The Best in Me” Pets: no
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?; 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