S – CC 4015, Worcester
Generate PDFAvailability status: | Available now in Cape Town and Stellenbosch |
Race: | White |
Age: | 27 |
Hair colour: | Brown |
Eye colour: | Blue/grey |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.7m., 56kg., fair complexion, curly hair |
Face shape: | Diamond |
Other personal information: | Christian, South African nationality, O+ blood group. Candidate is a very healthy outgoing stay at home mom. She loves the outdoors, is very open, honest and hard working. Non-smoker. Reason for donating: I would love to be able to help you grow your family. |
Reproduction history: | Three children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Christian |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Worcester, Western Cape |
Nationality | South African |
Where were you born? | Port Elizabeth |
What language(s) do you speak? | Afrikaans and English |
Year of birth | 1997 01 12 |
Age | 27 |
Star sign | Capricorn |
Blood group (if known) | O+ |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I've been very fortunate to have been able to convince naturally and have 3 healthy full term pregnancies. I know some women aren't that lucky and struggle with infertility. I would be more than happy to be able to help someone have their own family. |
How do you best describe yourself? | Young outgoing and very energetic healthy young woman |
Relationship status | Married |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | diamond |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Round Almond |
Height in metres | 1.7 |
Weight in kilograms | 56 |
What is your usual or ideal weight? | |
Build and body shape | Tall slender |
Which body part is most sensitive to weight gain or loss? | None |
Eye colour | Blue |
Natural hair colour | Brown |
Hair colour as a child | Brown |
Hair type | Curly |
Hair texture | medium |
Description of hands and fingers | Medium length fingers. Nails grow very fast medium sized hands |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Bra size-38B shoe size - 6 freckles |
Are you left handed or right handed? | Left handed |
With celebrity do you most resemble - physically? | I don't know |
Siblings physical traits - hair and eye colour, height, weight and build | Brother - average built(skinny) dark brown hair brown eyes, sister - short medium built light brown hair blue/Grey eyes |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | Three children, son born 2018, daughter born 2021, son 2022 |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Very healthy |
Smoker | never smoked |
Alcohol consumption per week. | None |
Do you wear glasses? | Never |
How would you rate your sight? | Very 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? | No |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Please indicate if you have any allergies | None |
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. | Prenatals - pregnancy |
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? | None |
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. | No |
How often do you excercise? | Daily |
In which exercises or sports do you partake now? | Jogging |
Have you excelled in any sports? | Cricket and athletics |
What sports did you play at school? | Hockey, cricket and athletics |
Professional and academic information
Occupation | Stay at home mom |
What is your ideal career/ occupation? | Teacher |
What are you doing to get to your desired profession in life? | Nothing at the moment |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Afrikaans English Math literacy history tourism home economics life orientation |
What is the name of any course / degree completed? | None |
Planned studies | Couldn't afford it |
In what aspects do you have a keen interest? | Teaching |
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? | No I don't |
Behavioural traits
What is most important in life to you? | Family |
If you had unlimited resources and could save one thing on earth what would it be? | Children |
What are your views on religion and spirituality, and practiced religion? | Christian |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | None of which I am aware |
Interests and hobbies | Outdoor activities such as camping, walks and jogging |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | A few heritage sites |
What are your feelings on animal welfare? | Love animals |
Strength and weaknesses | Strength - very persistent can do attitude go getter very hard worker and fast learner; weaknesses - not knowing when to say no can be overwhelming. |
What do others generally think of you? | Soft hearted, kind and friendly person |
Favourite flower | Strawberry and chocolate |
What is your favourite meal? | Pizza and Mac and cheese |
What is your favourite movie? | The Greatest Showman |
What is your favourite book? | |
Who is your favourite actor? | Hugh Jackman |
Who is your favourite actress? | None |
What is your favourite colour? | Red |
What is your favourite colour lipstick? | Nude |
What is your favourite perfume? | None |
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? | Depends on the situation |
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? | 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 | Afrikaans |
Professions for mother and father | Mom and dad - own wood-making business |
Achievements on an academic level for mother and father | None |
Race for mother and father | Both white |
Natural hair colour for mother and father | Mom - brown, dad - dark brown |
Eye colour for mother and father | Mom - brown, dad - blue/ grey |
Height for mother and father | Dad - 1.66m. |
Mother and father build | Mom - 1.7m. tall thin, dad - tall average built |
Any specific defining traits for both parents | None |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 54, dad - 60 |
Health status | Both healthy |
Please indicate if any twins in your family and the relationship to you | None |
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 | None |
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? | None |
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 | None |
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 | No |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | No to Both |
If deceased, state cause of death | MGM - natural causes of old age |
Current age or age of death | MGM - 78, |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | MGF - natural causes of old age |
Current age or age at time of death | MGF - 90 |
Grandfathers' eye colour (maternal and paternal) | MGF - blue, PGF - blue |
Grandmothers' eye colour (maternal and paternal) | MGM - blue/ green, PGM - brown |
Grandfathers' hair colour (maternal and paternal) | MGF - brown, PGM - black |
Grandmothers' hair colour (maternal and paternal) | MGM - brown, blonde, PGM - brown |
Health of grandmothers (maternal and paternal) | No known health concerns |
Health of grandfathers (maternal and paternal) | No known health concerns |
Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | White |
Any genetic health or psychological concerns worth noting regarding your grandparents | None |
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 | No |
Preferred town to donate | Cape Town |
Towns available in which to donate - travel costs will be covered | Cape Town, Stellenbosch |
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 |