S – ES 4293, Bronkhortspruit
Generate PDFAvailability status: | Available now in Pretoria |
Race: | White |
Age: | 31 |
Hair colour: | Straight brown |
Eye colour: | Brown |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.52m., 62kg. |
Face shape: | Oval |
Other personal information: | Christian, South African nationality, A- blood group. Candidate describes herself as a happy, outgoing person that loves to socialize. Non-smoker. Reason for donating: I would love to be able to complete a family, my children are my reason for living and I want someone else to experience that kind of love. |
Reproduction history: | Two children. Candidate has also been a surrogate. No donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I am a Christian |
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Category: Active Donor
Additional donor information
Initial information
In which town do you live? | Bronkhorstspruit, Gauteng |
Nationality | White |
Where were you born? | Pretoria |
What language(s) do you speak? | English and Afrikaans |
Year of birth | 1994 |
Age | 31 |
Star sign | Cancer |
Blood group (if known) | A- |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | Being able to help someone become a family is so special to me. Knowing that someone can not experience the love and joy that a child brings to your life, breaks my heart. |
Are there any medical or psychological concern areas we should know about? | No |
How do you best describe yourself? | I am a person that strives on peace, love and happiness. Family is my number one priority. |
Relationship status | Married |
Have you donated eggs before? | No |
If yes, please advise whether you donated through an egg donor agency? | -1 |
Were your eggs confirmed good to donate again? | -1 |
Physical profile
Race | White/ Caucasian |
Skin complexion | Tanned |
Face shape | Oval |
Eye shape | Almond |
Height in metres | 1.52 |
Weight in kilograms | 62 |
Which body part is most sensitive to weight gain or loss? | Stomach |
Eye colour | Brown |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Straight |
Hair texture | medium |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | I have small feet, my shoe size is a 3 |
Shoe size | 3 |
Are you left handed or right handed? | Right handed |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | 2 |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Healthy |
Smoker | Ex-smoker |
Do you wear glasses? | Never |
Have you had any cancer? | No |
Have you had any heart problems? | No |
History of asthma | No |
Indicate any medication you are taking and reason for it. | None |
Have you ever been addicted to any substances? | No |
Have you partaken in any recreational drugs had tattoos or piercings in the last six months? Please explain. | No |
Details of any operations? | Had my appendix removed when I was 14 |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | No |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Light cardio and walking |
Have you excelled in any sports? | Athletics in school |
What sports did you play at school? | Hockey and athletics |
Professional and academic information
Occupation | Unemployed |
What is your ideal career/ occupation? | Social worker |
Do you have a matric and university exemption? | No matric |
Planned studies | Bachelor of social work |
In what aspects do you have a keen interest? | The well being of children |
Would you prefer to read the book or watch the movie? | Read the Book |
Do you know if your IQ was ever tested and the score please? | No |
Behavioural traits
What is most important in life to you? | My family |
If you had unlimited resources and could save one thing on earth what would it be? | Victims of domestic and drug abuse |
What are your views on religion and spirituality, and practiced religion? | I am a Christian |
Childhood religion? | Christian |
Interests and hobbies | Crafting and gardening |
What is your preferred holiday? | Beach |
If you were offered an all-inclusive holiday, what would it be? | A holiday in Zanzibar |
Which interesting places have you visited? | The South coast |
What are your feelings on animal welfare? | I care deeply for animals |
What do others generally think of you? | I am a happy and peaceful person |
Favourite flower | Daisy |
What is your favourite meal? | Pasta |
What is your favourite movie? | A Cinderella story |
Who is your favourite actor? | Vin Diesel |
Who is your favourite actress? | Hillary Duff |
What is your favourite colour? | Purple |
What is your favourite colour lipstick? | Light pink |
What is your favourite perfume? | Hoity toity |
Who is your favourite person? | My children |
Are you more introverted or extroverted? | Extroverted |
Would you prefer to go out with friends or stay in with a loved one or book? | Stay in with a loved one or book |
Are you musical or played any musical instruments? | No |
Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
Do you prefer indoors or outdoors? | Outdoors |
Which weather do you prefer? |
Family information of genetic parents
Nationality for mother and father | Both South African |
Country of origin and ancestry for mother and father | Both South Africa |
Language spoken for mother and father | Afrikaans |
Professions for mother and father | Mom - manager Dad - diesel mechanic |
Race for mother and father | Both white |
Natural hair colour for mother and father | Brown |
Eye colour for mother and father | Mom - brown Dad - green |
Height for mother and father | Mom - 1.54m. Dad - 1.65m. |
Mother and father build | Fit |
Any specific defining traits for both parents | NOne |
Are your parents still alive? | Only my mother |
If deceased, cause of death | Dad - heart attack |
Age (if living, or age deceased) | Mom - 60 Dad - 53 |
Health status | None |
Any fertility problems in your family | No |
In your family, has anyone suffered from/ currently have any health concerns/ diseases including but not limited to diabetes, cholesterol, blood pressure, thyroid, haemophilia, blood clotting, paralysis, porphyria, heart problems? | No |
History of asthma | No To Both |
Any other comments regaring any health aspects in your family | None |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | Natural causes |
Current age or age of death | 68 and 71 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Colon cancer and car accident |
Current age or age at time of death | 64 and 51 |
Grandfathers' eye colour (maternal and paternal) | Brown and green |
Grandmothers' eye colour (maternal and paternal) | Both brown |
Grandfathers' hair colour (maternal and paternal) | Brown |
Grandmothers' hair colour (maternal and paternal) | Brown |
Health of grandmothers (maternal and paternal) | Good |
Health of grandfathers (maternal and paternal) | Good |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | N/A |
Any genetic health or psychological concerns worth noting regarding your grandparents | No |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | None |
Egg donation stipulations
Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | None |
Preferred town to donate | Pretoria |
Towns available in which to donate - travel costs will be covered | Pretoria |
Confirmation
I have only made myself available as an egg donor with baby2mom. | Yes |
Please advise any specific donation criteria other than those mentioned | No |
All information provided is correct and pictures are all of me. I agree to keep baby2mom updated with the donor programe (screening, blood tests, scans, egg retrieval. I will keep baby2mom updated wrt my availability and wrt egg donation pregnancies achieved. I consent to participate in the baby2mom egg donor program and participate as required and understand the concept of anonymous egg donation and claim no further rights over any child(ren) conceived of egg donation. I agree that I will be prescribed medication to potentially synchronise my menstrual cycle with that of the recipients and will be given hormones in a controlled environment by professional fertility specialists to stimulate donor egg developement. I agree to find more information pertaining to egg donation on the baby2mom egg donor site or ask if I have any further questions about being an egg donor. I agree to participate as required as people often travel from international destinations to participate in a South African egg donation program and have incurred considerable financial and emotional costs | Yes |