S – CV 4020, Springs
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | White |
Age: | 32 |
Hair colour: | Blonde as child |
Eye colour: | Green and brown |
Has children: | Yes |
Proven donor | No |
Post matric studies: | No |
Other physical information: | 1.69m., 75kg., average build, left handed |
Face shape: | Oval |
Other personal information: | South African nationality, Christian, O- blood group. Candidate is an active and loving house wife and mother of two children. She enjoys woodworking projects. Non-smoker. Reason for donating: We are here to serve each other and I would love to do so by helping someone or a couple to also feel the love and happiness of having a child. If you choose me as a donor, I will make a promise to be commited in helping you. |
Reproduction history: | Two children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Everyone has the right to practicing thier own religion and should be free to choose |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Springs, Gauteng |
Nationality | South African |
Where were you born? | Springs |
What language(s) do you speak? | English and Afrikaans |
Year of birth | 1992 |
Age | 32 |
Star sign | Aquarius |
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? | We are here to serve each other and I would love to do so by helping someone or a couple to also feel the love and happiness of having a child. If you choose me as a donor, I will make a promise to be commited in helping you. |
How do you best describe yourself? | I am a lively person with a strong personality, good sense of humor and easy to get along with |
Relationship status | Married |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | oval |
Nose shape defined by Wikipedia | Snub |
Eye shape | Round |
Height in metres | 1.69 |
Weight in kilograms | 75 |
What is your usual or ideal weight? | Between 73 and 75 |
Build and body shape | Pear shaped body |
Which body part is most sensitive to weight gain or loss? | Belly and breast area |
Eye colour | Brown |
Natural hair colour | Blonde |
Hair colour as a child | Light Blonde |
Hair type | Straight |
Hair texture | Thick |
Description of hands and fingers | Average hand size, straight fingers, strong natural nails |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Fair skinned with light freckles, 36C cup size, 34 clothing size, size 8 shoe |
Are you left handed or right handed? | Left handed |
With celebrity do you most resemble - physically? | |
How many siblings do you have? |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | Yes |
No. of children | |
Fertility issues | None |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | No health issues or diseases. Healthy body and mind |
Smoker | never smoked |
Alcohol consumption per week. | Very rare, once per occation such as birthday or wedding |
Do you wear glasses? | Since Early Adulthood |
How would you rate your sight? | Short sighted |
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 | Seasonal allergies |
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 | Yes - Mild |
Indicate any medication you are taking and reason for it. | Probiotics for good gut health |
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? | Tonsils and appendix removed as child. 2 c sections (child birth) |
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. | Mild gluten intolerance |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Aerobics and weight training |
Have you excelled in any sports? | I was good at high jump, far jump and long distance running in primary school |
What sports did you play at school? | Netball and hockey |
Professional and academic information
Occupation | House wife |
What is your ideal career/ occupation? | Behavioral psychology |
What are you doing to get to your desired profession in life? | Currently studying Cognitive behavioral therapy |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | Mathematics, Afrikaan Home language, English second Additional, Life Orientation, Hospitality Studies, Engineering Graphics and Design, Tourism |
What is the name of any course / degree completed? | |
Planned studies | Once the CBT course is completed, I will further my studies in this direction |
In what aspects do you have a keen interest? | |
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? |
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? | |
What are your views on religion and spirituality, and practiced religion? | Everyone has the right to practicing thier own religion and should be free to choose |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | |
Interests and hobbies | Arts and crafts, woodworking projects |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | I've traveled all over South Africa with family from childhood. |
What are your feelings on animal welfare? | Animals should also be treated with love and respect |
Strength and weaknesses | Strengths include commitment to completing tasks and competitive nature when it comes to sports; weakness is not realising in time when my kind heartedness is being abused |
What do others generally think of you? | Fun and loving person |
Favourite flower | Blue Iris |
What is your favourite meal? | Sushi |
What is your favourite movie? | Downton Abby |
What is your favourite book? | Game of thrones books |
Who is your favourite actor? | Idris Elba |
Who is your favourite actress? | Jennifer Aniston |
What is your favourite colour? | Blue |
What is your favourite colour lipstick? | Light pink |
What is your favourite perfume? | Lady Million |
Who is your favourite person? | My mom |
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? | Played Guitar as a child |
Are you more cultural or more adventurous? | More Adventurous |
Do you prefer indoors or outdoors? | Outdoors |
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 | Finance and contractor |
Achievements on an academic level for mother and father | |
Race for mother and father | Both white |
Natural hair colour for mother and father | Mom - red, dad - dark brown |
Eye colour for mother and father | Brown and green |
Height for mother and father | Mom - 1.7m., dad - about 1.75m. |
Mother and father build | Both tall, mom - pear shaped, dad - athletic build |
Any specific defining traits for both parents | No |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not applicable |
Age (if living, or age deceased) | Mom - 52, dad - 55 |
Health status | Mom - breast cancer, dad - 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 | Mom - recently completed treatment for breast cancel |
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 of which I am aware |
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 of which I am aware |
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 | Only my mother |
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 | |
Current age or age of death | 73 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Malaria |
Current age or age at time of death | 64 |
Grandfathers' eye colour (maternal and paternal) | Both brown |
Grandmothers' eye colour (maternal and paternal) | MGM - blue, PGM - brown |
Grandfathers' hair colour (maternal and paternal) | Both dark brown |
Grandmothers' hair colour (maternal and paternal) | MGM - blonde, PGM - 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 | All 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 | 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 | I am open to donating to any loving person or couple who is looking to start a family. |
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 |