S – BB 3959, Pretoria
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | White |
Age: | 31 |
Hair colour: | Thin dark blonde/ light brown |
Eye colour: | Blue |
Has children: | Yes |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.59m., 65-70kg., medium busty, natural red under tone in hair, freckles, natural rosy cheeks |
Face shape: | Round |
Other personal information: | South African nationality, B+ blood group. Candidate is a stay at home mom. She enjoys music, reading and colouring. She is an introvert, spontaneous and caring. Light to non-smoker. Message to recipient: I would love to help in any way I possibly can. |
Reproduction history: | Two sons and two daughters. No donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Religion is a very important aspect of my life |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Pretoria, Gauteng |
Nationality | South African |
Where were you born? | Rustenburg, North-West |
What language(s) do you speak? | Afrikaans, English |
Year of birth | 1993 |
Age | 31 |
Star sign | Sagittarius |
Blood group (if known) | B+ |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I would love to be able to give someone else the gift of motherhood that we all deserve. I would love to be able to help where I can as not being able to conceive is a matter close to my hart. (Family and friends who are also struggling to conceive) |
How do you best describe yourself? | I'm a fun, energetic, loving and caring person that's always trying to help my fellow human beings as far and best I possibly can. |
Relationship status | Married |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | round |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Round Almond |
Height in metres | 1.59 |
Weight in kilograms | 65 |
What is your usual or ideal weight? | 65kg |
Build and body shape | Medium, regtangle |
Which body part is most sensitive to weight gain or loss? | Bust |
Eye colour | Blue |
Natural hair colour | Blonde |
Hair colour as a child | Dark blonde/Light brown |
Hair type | Straight |
Hair texture | Fine |
Description of hands and fingers | Small hands, meduim fingers |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Bust size: 34F Shoe size: 4-5 Freckles: Yes alot Dimples: Yes very small Other: Natural rosy cheeks |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | |
How many siblings do you have? |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | |
Fertility issues | No fertility issues |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Good health, healthy lifestyle, no diseases |
Smoker | 0 - 5 per day |
Alcohol consumption per week. | None |
Do you wear glasses? | Never |
How would you rate your sight? | Good |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | None |
Have you suffered from/ currently have any health concerns/ diseases including but not limited to diabetes, cholesterol, blood pressure, thyroid, haemophilia, blood clotting, paralysis, porphyria? | None |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Please indicate if you have any allergies | Penicillin |
Any mental or psychological diseases/ learning disorders including but not limited to genetic depression, bi polar, psychiatric illness etc. Please elaborate and indicate if genetic. | None |
Any physical handicaps or deformaties? If yes, please state. | None |
Do you have any genetic diseases or are a carrier of any genetic concerns including but not limited to thalassemia, cystic fibrosis and sickle cell? | None |
History of asthma | No |
Indicate any medication you are taking and reason for it. | Pain medication for menstruation |
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? | Last operation: Removal of Tonsils 1996 |
Are there any health issues of which you are aware that may be of concern for you to become an egg donor? If yes, please state. | None |
Any specific diet such as vegan, vegetarian, health conscious, low fat, etc. | None |
How often do you excercise? | Daily |
In which exercises or sports do you partake now? | Walking and dancing |
Have you excelled in any sports? | Yes |
What sports did you play at school? | Netball, javlelin and ballroom dancing |
Professional and academic information
Occupation | Stay at home mom |
What is your ideal career/ occupation? | Nursing |
What are you doing to get to your desired profession in life? | Matric certificate and home base nursing certificate for RedCross |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Biology, Business studies, Tourism |
What is the name of any course / degree completed? | Caring at home/ Home base nursing |
Planned studies | Planning on redoing the course and improving First Aid |
In what aspects do you have a keen interest? | Caring for babies and children |
What type of books do you like to read? | |
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? | Unknown |
Behavioural traits
What is most important in life to you? | My children |
If you had unlimited resources and could save one thing on earth what would it be? | My children |
What are your views on religion and spirituality, and practiced religion? | Religion is a very important aspect of my life |
Childhood religion? | New Apostolic |
Any specific achievements or aspects of recognition in your family | Most fertile, one with the most children |
Interests and hobbies | Child care, reading, colouring, listening to music, dancing |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Namibia as a child, The waterfalls (Macmac), The Augrabies, The big Hole(Kimberley), Pilgrims rest, |
What are your feelings on animal welfare? | Animal welfare is important to me as I'm a animal lover |
Strength and weaknesses | Strengths - good caretaker/ provider; weakness - children and animals being neglected |
What do others generally think of you? | Kind and nurturing |
Favourite flower | Sunflower |
What is your favourite meal? | Home cooked meal |
What is your favourite movie? | Titanic |
What is your favourite book? | Mills & Boon |
Who is your favourite actor? | Jason Momoa |
Who is your favourite actress? | Kate Winslet |
What is your favourite colour? | Purple & Green |
What is your favourite colour lipstick? | Red |
What is your favourite perfume? | Avon Far Away Beyond |
Who is your favourite person? | My husband |
Are you more introverted or extroverted? | Introverted |
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? | Played piano |
Are you more cultural or more adventurous? | Bit of Both - depending on Situation |
Do you prefer indoors or outdoors? | Depending on the Situation |
Which weather do you prefer? | |
Are you more creative or analytical? |
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 | Both Afrikaans |
Professions for mother and father | Mom - admin clerk, dad - boilermaker |
Achievements on an academic level for mother and father | |
Race for mother and father | Both white |
Natural hair colour for mother and father | Mom - black, dad - dark blonde/ light brown |
Eye colour for mother and father | Mom - brown, dad - blue |
Height for mother and father | Mom - 1.56m., dad - 1.73m |
Mother and father build | Mom - medium build, dad - medium build |
Any specific defining traits for both parents | Mom - freckles, natural rosy cheeks, dad - natural red under tone in hair |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 51, dad - 5 |
Health status | Both good |
Please indicate if any twins in your family and the relationship to you | MGF is a twin. |
Please list any family members who have had cancer including aunts or uncles and on which family side | None |
Any fertility problems in your family | An aunt |
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? | Mom - cholesterol, blood pressure; dad - cholesterol, blood pressure |
In your family, does anyone have any genetic diseases or are a carrier of any genetic concerns including but not limited to thalassemia, cystic fibrosis, sickle cell, tay sachs? | None |
Any mental or psychological disease or learning disability or learning disorders including genetic depression, bi polar, psychiatric illness in siblings or family? If yes, please state | |
Any physical deformaties or handicaps? If yes, please state | None |
History of asthma | -1 |
Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | None |
Any other comments regaring any health aspects in your family | None |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Only MGM |
If deceased, state cause of death | Unknown |
Current age or age of death | Unknown |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | MGF - Alzheimer's and Dementia, PGF - heart attack. |
Current age or age at time of death | Unknown to both |
Grandfathers' eye colour (maternal and paternal) | Both blue |
Grandmothers' eye colour (maternal and paternal) | Brown and Blue |
Grandfathers' hair colour (maternal and paternal) | Black and Brown |
Grandmothers' hair colour (maternal and paternal) | Brown and Blonde |
Health of grandmothers (maternal and paternal) | Good |
Health of grandfathers (maternal and paternal) | Deceased to both |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | Same race |
Any genetic health or psychological concerns worth noting regarding your grandparents | Alzheimer's and Dementia |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | Alzheimer's and Dementia |
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 | None |
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 |