General and biometric information |
| Year of birth |
2005 |
| Height, cm |
170 |
| Height, foot |
5' 7" |
| Weight, kg |
62 |
| Religion |
Christian |
| City of residence |
St.Petersburg |
| Eye colour |
Greyish-blue |
| Hair color |
Blond hair |
| Hair specific |
Wavy |
| Hair colour in your childhood |
Blond hair |
| Do you have grey hair? (from what age) |
No |
| Hair density |
Thick hair |
| Body frame |
slim |
| Skin complexion |
Fair (skin will tan lightly on sun exposure) |
| Freckles |
Some freckles on face in spring-summer time |
| 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'm happy to donate this opportunity, take part in this miracle and this important decision. We will never get in personal contact with you but together we will make an input in one baby's life. |
| Right handed/ Left handed/ Ambidexter |
Right handed |
| Marital status |
Unmarried |
| Occupation |
A univeristy student, management and design in the field of events |
| Hobbies/interests |
Sports and handicrafts |
| Current and future personal goals |
To arrange my own event and to start my own family |
| Add something about yourself |
I enjoy reading and dancing. I adore any fine work with my hands |
| Main character traits |
Calm, Kind, Responsible, Responsive, Attentive, Inquisitive, Active, Open-hearted, Hard-working, Thoughtful, Polite, Modest, Careful, Cheerful, Tender, Reliable, Strong-willed, Punctual, Interested, Decent, Faithful, Friendly, Shy, Stress resistant, Leader, Brave, Fair, Unconflictive, Easy-educated, Creative, Patient |
Medical and genetical information |
| Blood group and Rh factor |
A- |
| Are you adopted? |
No |
| How many full siblings do you have? |
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? |
No |
| Have you had corrective eye surgery? For what problems (nearsighted, farsighted, other?) |
No |
| Please rate the health of your teeth |
Good |
| Have you ever had braces on your teeth? |
No |
| Do you smoke? |
No |
| How much alcohol do you consume per week/ month? |
Once in 1-2 months |
| Describe your type of diet |
A lot of protein and various food |
| Do you have any allergies? |
No |
| Do you exercise regularly? |
I go to the gym and I walk a lot |
| Do you take any prohibited drugs? |
No |
| Have you had a blood transfusion? |
I was a blood donor |
| 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 |
A univeristy student |
| What languages do you speak, read or write? |
English B1 |
| What musical instruments do you play? |
The guitar |
| What were/are your athletic skills/favourite sports? |
Volleyball, yoga, I have a great stamina and I'm strong. I enjoy strength training |
| What are your plans for future education? |
Master's degree |
| List 3 last jobs you have had (job title, duties, full-time or part-time job) |
An administrator at the reception, an administrator of the hall, a dog sitter |
| Your philosophy is |
I can't live without sports, motion is my life. While we work and develop, we live |
| If you could pass on a message to the recipient(s), what would that message be? |
I'm happy to become a part of your important decision. Please remember that in your baby's eyes you will always see yourself |
Temper and preferences |
| Favourite food |
Pudding, Asian chicken |
| Favourite colour |
Yellow, orange and pink |
| Favourite season |
Winter |
| Favourite holiday |
New Year's Day |
| Favourite book |
Adventures with Waffles Book by Maria Parr |
| Favourite music style |
Rock |
| Favourite movies |
Detective stories |
| Do you believe in miracles? |
Yes |
| Do you follow the news? |
Not much |
| Do you believe in astrology? |
Yes |
| Do you pray? |
No |
| Do you have any pets? |
Yes |
| Do you speak with strangers while traveling? |
No |
| 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 enjoy studying, Of course, monotonous lectures are boring but if they are combined with practice, it's interesting and easy |
Analysing abilities
|
| How well can you analyze information, extract important and useful details? Do you enjoy it? |
I can do that well. I analyze a lot at univeristy and I'm prefect at such works |
Logic abilities
|
| How well can you discuss things in a right and reasonable way, make conclusions? Do you enjoy it? |
I adore detective games and puzzles and I'm good at solving them |
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 used to write short stories and poems. They weren't masterpieces but I enjoyed that |
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 can express my thought very well but sometimes I'm in a hurry and miss some words |
Linguistic abillities
|
| How well can you learn and use languages (not only foreign languages, but also your native language)? Do you enjoy it? |
Languages have always been quite difficult for me |
Communicative abilities
|
| How well can you communicate, make new acquaintances, hand over information and receive information? Do you enjoy it? |
I can easily make new acquaintances but I prefer to maintain my old relationships rather than making new ones all the time |
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'm excellent at sports. Sport is my life and I can do any kind of sports. Most of all I love volleyball and dancing |
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? |
People say I'm a great dancer but I have to learn and train before I dance for others |
Imagination abilities
|
| How well can you generate ideas, express your thoughts and ideas in a creative way? Do you enjoy it? |
I'm good at generating ideas and I love expressing them in reality. The concept of all the events, how to arrange them, how to create something from the things I have |
Drawing abilities
|
| How well can you draw or paint? Do you enjoy it? |
My drawing skills are average, I enjoy drawing but I've never developed that skill |
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 don't really know as I love singing but I've never attended any singing classes |
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 can play after rehearsal but it's difficult for me to improvise |
