General and biometric information |
| Year of birth |
1989 |
| Height, cm |
161 |
| Height, foot |
5'3" |
| Weight, kg |
57 |
| Religion |
Christian |
| City of residence |
St.Petersburg |
| Eye colour |
Brown |
| Hair color |
Dark brown hair |
| Hair specific |
Straight |
| Hair colour in your childhood |
Dark brown hair |
| Do you have grey hair? (from what age) |
No |
| Hair density |
Normal |
| Body frame |
athletic |
| Skin complexion |
Olive (pigmentation of unexposed skin) - light / moderate / dark |
| Freckles |
Some freckles on face in spring-summer time |
| Race |
European (Caucasian) |
Nationality of grandparents
|
| Father`s mother |
Chuvash |
| Father`s father |
Chuvash |
| Mother`s father |
Chuvash |
| Mother`s mother |
Chuvash |
Supplementary information
|
| Why I became an egg donor |
I was thinking about filling an egg donor questionnaire for quite a long time, but I made up my mind after a conversation with my sister, who donated three times. |
| Right handed/ Left handed/ Ambidexter |
Right handed |
| Marital status |
Married |
| If married, how many years? |
Since 2014 |
| Occupation |
A financier |
| Hobbies/interests |
Raising my son. I wish to make his childhood happy |
| Current and future personal goals |
To make a career and to raise a wonderful son. We'd like to provide him with military education |
| Add something about yourself |
I love my husband and my son very much |
| Main character traits |
Tempered, Attentive, Sociable, Hard-working, Polite, Persistent, Decent, Faithful, Friendly, Leader, Easy-educated, Patient |
Medical and genetical information |
| Blood group and Rh factor |
A+ |
| Are you adopted? |
No |
| How many full siblings do you have? |
1 sister |
| Contraception |
Birth control pills |
| 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?) |
Yes, in the summer of 2016 my sight was -1,5 |
| Please rate the health of your teeth |
Normal |
| Have you ever had braces on your teeth? |
No, but I'm going have a treatment with braces due to some problems with the bite |
| Do you smoke? |
No |
| How much alcohol do you consume per week/ month? |
I don't consume it |
| Describe your type of diet |
Just try to eat less harmful food, minimizing pastry and fried food |
| Do you have any allergies? |
No |
| Do you exercise regularly? |
Swimming in the pool |
| 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 |
Farsightedness due to age |
| 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 |
University degree in Finance and Credit (economics), music education (the piano) |
| What languages do you speak, read or write? |
Speaking English |
| What musical instruments do you play? |
Piano (attended music school for 8 years) |
| What were/are your athletic skills/favourite sports? |
Swimming in the pool |
| What are your plans for future education? |
Possibly, I would get a second degree |
| List 3 last jobs you have had (job title, duties, full-time or part-time job) |
I've been working at the same place for 4 years as a financier |
| Your philosophy is |
Live for today |
| If you could pass on a message to the recipient(s), what would that message be? |
To believe in miracles |
Temper and preferences |
| Favourite food |
Vegetables |
| Favourite colour |
Black and white |
| Favourite season |
Summer |
| Favourite holiday |
New Year |
| Favourite book |
Fairy tales for children |
| Favourite music style |
Romance |
| Favourite movies |
Comedy |
| Do you believe in miracles? |
Yes |
| Do you follow the news? |
Yes |
| Do you believe in astrology? |
No |
| Do you pray? |
No |
| Do you have any pets? |
Yes, a cat |
| 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 quite easy-educated. I learn quickly something new. If I am interested, why not to learn new things. In the morning I read the news about what is going on in our world. I enjoy listening to interesting and intelligent people because they always have something to talk about and to share some important information. |
Analysing abilities
|
| How well can you analyze information, extract important and useful details? Do you enjoy it? |
I find this easy. For my work I always need to define what should be done right now and what I can do later. I prepare many reports for my bosses for tax service, pension and social funds. |
Logic abilities
|
| How well can you discuss things in a right and reasonable way, make conclusions? Do you enjoy it? |
I think I'm good at logical thinking. I enjoy discussing interesting topics. I always got good grades for some subjects at school, for example, mathematics (for proving a theory and so on). |
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 wrote poetry only in school years. Now I'm not interested. I don't enjoy that much. |
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 have got a good memory, I am able to retell a story or some very well. While being a student I was always good at retelling stories, doing reports, writing essays. I defended my thesis brilliantly, I even remember the topic: "Leasing of Construction Equipment". There were a lot of drawings, tables and graphs. I responded to all teachers' questions using these tables. |
Linguistic abillities
|
| How well can you learn and use languages (not only foreign languages, but also your native language)? Do you enjoy it? |
Unfortunately, I know English just a little. I use my native Russian language every day, it's a must, of course. And yes, I love my native language, I think it's one of the most difficult and the most interesting languages in the world. |
Communicative abilities
|
| How well can you communicate, make new acquaintances, hand over information and receive information? Do you enjoy it? |
I find easy to meet people. It's no problem for me to come to strangers and talk to them. I enjoy new acquaintances! I love my friends and, of course, communication with them! |
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 was a sporty kid in my childhood, now the only thing I can afford due to time lack - a pool. I enjoy going to the pool, to ride a bike with my child. |
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 used to dance at school. Now I get this opportunity quite seldom, I hardly ever manage to get out somewhere where I can dance. But if I succeed, then, of course, I dance much. I enjoy dancing, so when I drive my car, I move and beat time while singing. |
Imagination abilities
|
| How well can you generate ideas, express your thoughts and ideas in a creative way? Do you enjoy it? |
I find easy writing stories, however, I don't really enjoy that. |
Drawing abilities
|
| How well can you draw or paint? Do you enjoy it? |
I never knew how to draw well. I draw only with my child and I sometimes think that my child draws better than me :) |
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 graduated from music school, but I don't think that I am not good enough in hitting the right notes. I enjoy singing in the car when I'm alone. I don't enjoy singing in public and karaoke. |
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? |
Sometimes I play characters from fairy tales that I read to my son. I enjoy entering into the character. We often play with him so he wouldn't get bored, we come up with some characters and portray them. |
