General and biometric information |
| Year of birth |
1999 |
| Height, cm |
170 |
| Height, foot |
5' 7" |
| Weight, kg |
60 |
| Religion |
Christian |
| City of residence |
St.Petersburg |
| Eye colour |
Greyish-blue |
| Hair color |
Middle blond hair |
| Hair specific |
Straight |
| Hair colour in your childhood |
Blond hair |
| Do you have grey hair? (from what age) |
No |
| Hair density |
Normal |
| Body frame |
slim |
| Skin complexion |
Fair (skin will tan lightly on sun exposure) |
| 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 decided to become an egg donor not only because of financial renumeration but also to get joy of changining somebody's life for better |
| Right handed/ Left handed/ Ambidexter |
Right handed |
| Marital status |
Unmarried |
| Occupation |
A cosmetologist (I perform beauty procedures, injections), a make-up artist (in the theaters and in some film projects) |
| Hobbies/interests |
Reading, visage art, long walks |
| Current and future personal goals |
To work as a professional make-up artist at the film production and film sets |
| Add something about yourself |
I'm a positive and open-hearted person, I enjoy learning everything new |
| Main character traits |
Calm, Kind, Optimistic, Responsible, Responsive, Inquisitive, Sociable, Active, Open-hearted, Hard-working, Thoughtful, Polite, Modest, Reserved, Tolerant, Careful, Cheerful, Tender, Reliable, Interested, Decent, Friendly, Stress resistant, Leader, Brave, Fair, Even-tempered, Unconflictive, Easy-educated, Harmonious, Creative |
Medical and genetical information |
| Blood group and Rh factor |
A+ |
| Are you adopted? |
No |
| How many full siblings do you have? |
A brother and a sister |
| 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? |
Astigmatism |
| Have you had corrective eye surgery? For what problems (nearsighted, farsighted, other?) |
No |
| Please rate the health of your teeth |
Normal |
| Have you ever had braces on your teeth? |
No |
| Do you smoke? |
No |
| How much alcohol do you consume per week/ month? |
A glass of wine once or twice a month |
| Describe your type of diet |
Healthy diet, 80% healthy food and 20% are not that healthy, for example, I can have a dessert |
| Do you have any allergies? |
No |
| Do you exercise regularly? |
I have an average physical activity |
| 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? |
Astigmatism |
| 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 |
Donor's relatives| | Year of birth | Hair colour | Eye colour | Height | Weight, kg | Occupation | | Sister | 2003 | Dark blond | Brown | 166 | 56 | Univeristy degree in psychology (a kids psychologist? a teacher). She has just got her first job as a school psychologist | | Mother`s father | 1953 | Dark | Blue | 175 | 68 | Medical univeristy degree, a vet. He's retired now, he lives in his country house, takes care of his pets, of his garden, enjoys fishing | | Father`s mother | 1951 | Middle blond | Grey-blue | 165 | 60 | My granny was born and lived in the country, after finishing school she had worked for 2 years at the local administration,then she got married and gave birth to 8 kids, she even has a title of heroic mother. She took care of her kids, home and helped gra | | Father | 1971 | Middle blond | Grey-blue | 178 | 70 | My father has a rotational shiftwork, a welder. When he's at home, he helps my grandparents with their farm and his hobby is hunting | | Mother | 1976 | Dark blond | Brown | 165 | 60 | She got university degree in economics when she turned 36. She works as a head manager of the stores. Before that she worked as a chef, she has a college diploma as a chef | | Father`s father | 1948 | Middle blond | Blue | 178 | 72 | He lives ibn the country side, he studied to be a zoo technician and he has a tractor driving license. He used to work as a tractor driver and he runs his own farm | | Mother`s mother | 1955 | Blond | Green-brown | 164 | 60 | Medical univeristy degree, she worked as an ambulance doctor, she's retired now and lives in the country side with my grandpa, she helps her neighbours with health advice, injections and infusions | | Brother | 2012 | Middle blond | Grey-blue | 170 | 60 | A schooler, he's good at studies but he prefers sports. He goes swimming, boxing, wrestling |
|
Social information and abilities |
| Education level |
Medical college diploma |
| What languages do you speak, read or write? |
English (Elementary), Korean (Elementary) |
| What musical instruments do you play? |
None |
| What were/are your athletic skills/favourite sports? |
Dancing, athletics, kick boxing |
| What are your plans for future education? |
Get professional training in make-up art |
| List 3 last jobs you have had (job title, duties, full-time or part-time job) |
A make-up artist, a cosmetologist (full time), a massage specialist |
| Your philosophy is |
Everything is done for better, we have always say "yes" to any opportunity |
| If you could pass on a message to the recipient(s), what would that message be? |
Try to smile more often! |
Temper and preferences |
| Favourite food |
Meat |
| Favourite colour |
Milky |
| Favourite season |
Spring |
| Favourite holiday |
Halloween |
| Favourite book |
"Miss Peregrine's Home for Peculiar Children" by Ransom Riggs |
| Favourite music style |
Melomane |
| Favourite movies |
Depending on my mood |
| Do you believe in miracles? |
Sometimes |
| Do you follow the news? |
Not much |
| Do you believe in astrology? |
Sceptical |
| Do you pray? |
Rarely |
| Do you have any pets? |
Yes, a cat |
| Do you speak with strangers while traveling? |
Sometimes |
| Do you make a wish after falling star? |
It happens |
Learning and cognitive abilities
|
| How well can you acquire knowledge, learning new skills? Do you enjoy it? |
I enjoy learning something new, I'm always interested in new knowledge and I can easily absorb any new information |
Analysing abilities
|
| How well can you analyze information, extract important and useful details? Do you enjoy it? |
I'm constantly analyzing |
Logic abilities
|
| How well can you discuss things in a right and reasonable way, make conclusions? Do you enjoy it? |
It's an interesting and useful skill, I think I'm a rational person |
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'm not very good at writing poems |
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 prefer to pass the information in a short, bright and precise way |
Linguistic abillities
|
| How well can you learn and use languages (not only foreign languages, but also your native language)? Do you enjoy it? |
I enjoy leanring languages but I'm not very fluent yet |
Communicative abilities
|
| How well can you communicate, make new acquaintances, hand over information and receive information? Do you enjoy it? |
I consider myself an ambivert, I can easily communicate with people and find an approach to anyone but my circle of friends is narrow |
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 enjoy dancing (latina, ballroom dancing), I go to the gym and kick boxing |
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? |
When I was a teenager I was professionally involved in dancing and took part in dance performances on the stage |
Imagination abilities
|
| How well can you generate ideas, express your thoughts and ideas in a creative way? Do you enjoy it? |
I enjoy the flow of ideas, I can sit and spontaneously draw something or create an interesting make up |
Drawing abilities
|
| How well can you draw or paint? Do you enjoy it? |
I'm interested in drawing and I draw from time to time but mostly I'm interested in body art |
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 voice and a good ear for music, even though I've never been involved in singing professionally. In the circle of friends or relatives I enjoy singing |
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? |
My friends say I'm a talented actress but I can't objectively assess my acting skills |
