General and biometric information |
| Year of birth |
1996 |
| Height, cm |
164 |
| Height, foot |
5' 5" |
| Weight, kg |
58 |
| Religion |
Christian |
| City of residence |
St.Petersburg |
| Eye colour |
Greyish-blue |
| Hair color |
Brown hair |
| Hair specific |
Straight |
| Hair colour in your childhood |
Light brown hair |
| Do you have grey hair? (from what age) |
No |
| Hair density |
Normal |
| Body frame |
slim |
| Skin complexion |
Olive (pigmentation of unexposed skin) - light / moderate / dark |
| Freckles |
No freckles |
| Race |
European (Caucasian) |
Nationality of grandparents
|
| Father`s mother |
Russian |
| Father`s father |
Russian |
| Mother`s father |
Russian |
| Mother`s mother |
Russian |
Personality
|
| Why I became an egg donor |
I became an egg donor because I felt the magic of maternity myself and I want every woman to have a chance for such transformation. |
| Right handed/ Left handed/ Ambidexter |
Right handed |
| Marital status |
Unmarried |
| Occupation |
Nail master |
| Hobbies/interests |
Drawing and art |
| Current and future personal goals |
I want to fulfill my creative potential in drawing, start a family, raise my daughter and provide her with a happy future, start my own business, build a house and stay in a perfect shape |
| Add something about yourself |
I am a hard-working and goal-oriented person, I am not afraid of challenges. I am keen on my work. I would describe myself as an open and honest person. I love my family and friends |
| Main character traits |
Kind, Responsible, Attentive, Sociable, Neat, Active, Open-hearted, Hard-working, Polite, Careful, Cheerful, Tender, Strong-willed, Decent, Faithful, Friendly, Accommodative, Brave, Fair, Easy-educated, Creative |
Medical and genetical information |
| Blood group and Rh factor |
A+ |
| Are you adopted? |
No |
| How many full siblings do you have? |
A brother |
| Contraception |
Condoms |
| Do you have/Did you have any gynecological diseases/surgeries? |
No |
| Do you wear hearing aids? Have any problems with hearing? |
No |
| Do you wear contact lenses/ glasses? Have any problems with eyesight? |
No |
| Have you had corrective eye surgery? For what problems (nearsighted, farsighted, other?) |
No |
| Please rate the health of your teeth |
Excellent |
| Have you ever had braces on your teeth? |
No |
| Do you smoke? |
No |
| How much alcohol do you consume per week/ month? |
I don't drink |
| Describe your type of diet |
I don't follow any diet, just lead a healthy lifestyle |
| Do you have any allergies? |
No |
| Do you exercise regularly? |
Yes |
| Do you take any prohibited drugs? |
No |
| Have you had a blood transfusion? |
No |
| Have you had been hospitalized for psychical reasons? |
No |
| Are there any triplets or twins in your genetic family? |
No |
| Have you had any stillbirths, miscarriages, abortions? |
No |
| Are you breastfeeding at the moment? |
No |
| Do you have any chronic diseases? |
No |
| Do you take any medications (prescribed or not)? |
No |
| Have you had any hospitalizations/ surgeries? |
No |
| Do you have/Have you ever had these infections: chlamydia, gonorrhea, trichomoniasis, genital herpes? |
No |
Health condition of donor`s genetical family
|
| Migraines |
No |
| Mental illness or disabilities |
No |
| Epilepsy |
No |
| Muscular dystrophy |
No |
| Hearing problems, deafness |
No |
| Colour blindness, blindness |
No |
| Wearing glasses/ contact lenses, Farsighted/ Nearsighted |
No |
| Glaucoma |
No |
| Schizophrenia |
No |
| Frequent depressions |
No |
| Serious congenital malformation |
No |
| Clubfoot |
No |
| Dwarfism |
No |
| Cardiovascular diseases |
No |
| More than two miscarriages |
No |
| Dermatomelasma, Neurodermatitis, Psoriasis |
No |
| Baldness (if yes, specify the age) |
No |
| Cancer (specify the type) |
No |
| Haemophilia |
No |
| Stroke |
No |
| Ulcer |
No |
| Ovarian tumor |
No |
| Uterine (Myoma) fibroids |
No |
| Alcoholism |
No |
| Drug addiction |
No |
| Diabetes before age of 55 |
No |
| Autism |
No |
Social information and abilities |
| Education level |
College diploma in Tourism |
| What languages do you speak, read or write? |
Russian |
| What musical instruments do you play? |
None |
| What were/are your athletic skills/favourite sports? |
Volleyball |
| What are your plans for future education? |
To get advanced training |
| List 3 last jobs you have had (job title, duties, full-time or part-time job) |
Nail master; beauty salon administrator and fitness house administrator |
| Your philosophy is |
Never give up! |
| If you could pass on a message to the recipient(s), what would that message be? |
Nothing is impossible! Everything will be alright! |
Temper and preferences |
| Favourite food |
Borsch, vegetable salad |
| Favourite colour |
Pink, black and blue |
| Favourite season |
Summer |
| Favourite holiday |
New Year |
| Favourite book |
"Cujo" by S. King |
| Favourite music style |
Pop, House |
| Favourite movies |
Thrillers |
| Do you believe in miracles? |
Yes |
| Do you follow the news? |
Yes |
| Do you believe in astrology? |
Yes |
| Do you pray? |
Yes |
| Do you have any pets? |
Yes |
| Do you speak with strangers while traveling? |
Yes |
| Do you make a wish after falling star? |
Yes |
Learning and cognitive abilities
|
| How well can you acquire knowledge, learning new skills? Do you enjoy it? |
I am a quick learner. My own interest greatly influences the process of learning certain things. My perception of information depends on how much I am motivated to get new knowledge. |
Analysing abilities
|
| How well can you analyze information, extract important and useful details? Do you enjoy it? |
I am quite good at it. Sometimes the way of analyzing may be unconventional and I try to look at the issue from different angles. |
Logic abilities
|
| How well can you discuss things in a right and reasonable way, make conclusions? Do you enjoy it? |
All of us have logical thinking skills. I can define facts, learn from my mistakes and understand how to make conclusions from what I can gather. |
Poetry abilities
|
| How well can you write poems, set forth your thoughts in poems in a right and nice way? Do you enjoy it? |
I don't write poems, it's not my thing. If necessary - I believe I can make up something short but well-rhymed. |
Narration and oratory abilities, elocutionary gift
|
| How well can you retell stories, speak interesting and well in a nice manner? Do you enjoy it? |
I do it very well. As a school student, I enjoyed read and retell. I memorize things quickly, one time of reading is enough for me to cath the meaning, sequence and everything essential for retelling. I am quite elaborate at expressing my thoughts. |
Linguistic abillities
|
| How well can you learn and use languages (not only foreign languages, but also your native language)? Do you enjoy it? |
I know only my native Russian language. I learned English at school and college, but forgot it as I had no practice. I plan to resume learning English to understand and produce speech. |
Communicative abilities
|
| How well can you communicate, make new acquaintances, hand over information and receive information? Do you enjoy it? |
Communication is very easy for me, I get along with people. I enjoy chatting and learning something new to me. |
Sport abilities, Having a skilled body
|
| How well can you do sports, for instance: swimming, skiing, skating, playing volleyball and other physical activities? Do you enjoy it? |
I am an amateur in all listed kinds of sports. I do sports for my own pleasure and I enjoy all kinds, be it running, volleyball, skating or snowboarding. I tried all kinds and I do sports when I have a chance. |
Dancing abilities, choreographic abilities and one’s body plasticity
|
| How well can you dance, move in rhythm with music, make dancing movements? Do you enjoy it? |
I really enjoy dancing. |
Imagination abilities
|
| How well can you generate ideas, express your thoughts and ideas in a creative way? Do you enjoy it? |
As a creative person, I approach any task creatively. I like doing things in a beautiful and extraordinary manner. |
Drawing abilities
|
| How well can you draw or paint? Do you enjoy it? |
This is my most favorite hobby. I draw and paint portraits and landscapes. |
Singing abilities, Having a good ear
|
| How well can you sing, sing along, sing with karaoke, sing in a bathroom? Do you enjoy it? |
I have a good ear and voice. I sing whenever I have a chance and I truly enjoy it. |
Acting abilities
|
| How well can you act as an actress: to enter into some role, to play up to somebody’s play? Do you enjoy it? |
I like it very much. I used to perform and played various roles and I even thought of getting acting education. |
