Height, cm: 165 Weight, kg: 57 Blood type and Rh factor: A (II) Rh + Ethinicity: russian Religion: christianity Character traits: I am delicate, kind, a very nice person
Eye color: blue Eye shape: european Nose: Medium Forehead: Medium Face: oval Freckles/moles: none
Hair type: straight Hair color: Dark blond Grey hair: no Constitution: mesomorphic (normal constitution) Right-handed or left-handed: right-handed
LIFE STYLE
Marital status: Married Career field: Office worker Education: Higher Languages: Russian, English, Italian
I wish you to have a wonderful baby very very soon!
Preferences
Favorite food: Pasta, seafood Favorite color: Purple Favorite season: Summer Favorite holiday: New Year's Eve
Favorite book: “Atlas Shrugged” by Ayn Rand Favorite music genre: All kinds of music Favorite film: “Eat, pray, love” Pets: Cats
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?; 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