S – HD 5854, Pretoria
Generate PDF| Availability status: | Available now in Pretoria |
| Race: | White/ Caucasian |
| Age: | 31 |
| Hair colour: | Blonde |
| Eye colour: | Blue |
| Has children: | Yes |
| Smoker: | Ex-smoker |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 1.62m., 54kg |
| Face shape: | Oval |
| Other personal information: | South African nationality, of Dutch ancestry. Candidate is an educator, holds a degree. Non-smoker. Reason for donating: I have many friends who are trying to fall pregnant but are struggling due to low egg count. If someone desperately needs help conceiving, I am more than happy to fill their house with tiny little feet. |
| Reproduction history: | Two beautiful daughters and no donations as yet. |
| What are your views on religion and spirituality, and practiced religion? | I am a Christian but I do not judge anyone with another belief system. We pray and read the Bible. |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Pretoria |
| In which province do you live? | Gauteng |
| Nationality | South African |
| Where were you born? | Welkom, Free State |
| What language(s) do you speak? | Afrikaans English |
| Year of birth | 1993 |
| Age | 31 |
| Star sign | Scorpio |
| Blood group (if known) | Unknown |
| Why do you want to be an egg donor and if you had a message for your recipient what would it be? | I have many friends who are trying to fall pregnant but are struggling due to low egg count. If someone desperately needs help conceiving, I am more than happy to fill their house with tiny little feet. |
| How do you best describe yourself? | I am happiest when I'm with my family. I am detail-oriented with a bit of clutter waiting to be sorted out. I love doing research and helping people. |
| Relationship status | Married |
| Have you donated eggs before? | No |
Physical profile
| Race | White/ Caucasian |
| Skin complexion | Tanned |
| Face shape | Oval |
| Nose shape defined by Wikipedia | Greek - perfect straight nose |
| Eye shape | Round Almond |
| Height in metres | 1.62 |
| Weight in kilograms | 54 |
| What is your usual or ideal weight? | 52 |
| Build and body shape | Thin with a bit of a bum. |
| Which body part is most sensitive to weight gain or loss? | Thighs and bum |
| Eye colour | Blue |
| Natural hair colour | Blonde |
| Hair colour as a child | Blonde |
| Hair type | Curly |
| Hair texture | Thick |
| Description of hands and fingers | Long slender fingers |
| Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | Freckles |
| Cup size | 32 A |
| Shoe size | 5 |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Mila Kunks, Amanda Seyfred |
| How many siblings do you have? | 1 |
| Sibling 1 Hair Colour | Brown |
| Sibling 1 Eye Colour | Blue |
| Sibling 1 Build | Big and overweight |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 2 |
| Child 1 Date of Birth | 09/05/2022 |
| Child 2 Date of Birth | 09/09/2024 |
| Fertility issues | None |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Healthy |
| Any current diseases? | No |
| Current health status lifestyle and/ or current diseases | Healthy |
| Smoker | Ex-smoker |
| Alcohol consumption per week. | 3_drinks |
| Do you wear glasses? | Never |
| How would you rate your sight? | 10 |
| Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | No |
| 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 | No |
| 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. | No |
| Any physical handicaps or deformaties? If yes, please state. | No |
| 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? | 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? | Laparoscopy 2 C-sections Abdominal surgery |
| 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. | No |
| 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? | Jogging Walking Crossfit |
| Have you excelled in any sports? | No |
| What sports did you play at school? | Hockey |
Professional and academic information
| Occupation | Educator |
| What is your ideal career/ occupation? | Researcher or book editor |
| What are you doing to get to your desired profession in life? | Reading and developing my writing skills |
| Do you have a matric and university exemption? | Matric and Exemption |
| Subjects and grades or marks at school | Afrikaans HL 72% English FAL 71% Mathematical Literacy 66% Life Orientation 77% Business Studies 64% Computer Applications Technology 54% Dramatic Arts 74% History 84% |
| What is the name of any course / degree completed? | B.a Language Practice Education degree for FET |
| Planned studies | None |
| In what aspects do you have a keen interest? | Education Copy writing Translation |
| What type of books do you like to read? | fiction |
| 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? | Exercise, eating right, sleep and spending time with my family. |
| If you had unlimited resources and could save one thing on earth what would it be? | Wildlife |
| What are your views on religion and spirituality, and practiced religion? | I am a Christian but I do not judge anyone with another belief system. We pray and read the Bible. |
| Childhood religion? | Christian |
| Any specific achievements or aspects of recognition in your family | My father is an electrical engineer. |
| Interests and hobbies | Reading Writing Painting Exercise Cooking Hosting people Gardening |
| What is your preferred holiday? | Beach |
| If you were offered an all-inclusive holiday, what would it be? | An all inclusive trip to the Maldives with my husband. |
| Which interesting places have you visited? | The Maldives, Namibia, Botswana, Lesotho |
| What are your feelings on animal welfare? | Animals should be cared for and loved. |
| Strength and weaknesses | Strengths - A great sense of humour, writing, detecting when my children are about to become sick. I am also great at growing roses from a small stem. |
| What do others generally think of you? | Others tend to think I am tiny, cute and very young. They also love visiting my house because we are accepting of their children and the chaos they bring. Friends are also aware of my honesty and ability to protect them in any situation. |
| Favourite flower | Any rose that I can plant. |
| What is your favourite meal? | Sushi |
| What is your favourite movie? | Friends With Benefits starring Mila Kunis and Justin Timberlake |
| What is your favourite book? | Twighlight |
| Who is your favourite actor? | Adam Sandler |
| Who is your favourite actress? | Mila Kunis |
| What is your favourite colour? | Purple |
| What is your favourite colour lipstick? | Pink |
| What is your favourite perfume? | Yardley, London, Gorgeous at dusk |
| 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? | Go out with friends |
| Are you musical or played any musical instruments? | I play an instrument |
| 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? | hot |
| Are you more creative or analytical? | creative |
Family information of genetic parents
| Nationality for mother and father | Mom - Dutch Dad - Dutch |
| Country of origin and ancestry for mother and father | Mom - Holland Dad - Holland |
| Language spoken for mother and father | Mom - Afrikaans, English Dad - Afrikaans, English, Fanakalo |
| Professions for mother and father | Mom - Sales at a furniture store Dad - Electrical field on a mine in Saudi Arabia |
| Achievements on an academic level for mother and father | Mom - Matric Dad - Electrician, N4 qualification |
| Race for mother and father | Mom - white Dad - white |
| Natural hair colour for mother | Mom - brown Dad - blonde |
| Eye colour for mother | Mom - blue Dad - blue |
| Height for mother and father | Mom - 1.64m. Dad - 1.85m. |
| Mother and father build | Mom - overweight Dad - strong, slightly overweight |
| Are your parents still alive? | Yes to Both |
| Age (if living, or age deceased) | Mom - 61 Dad - 61 |
| Health status | Mom - high blood pressure, healthy Dad - high blood pressure, healthy |
| Please indicate if any twins in your family | No |
| Any family members who have had cancer including aunts or uncles? | No |
| 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? | Yes |
| Please provide details of health concerns in your family | 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? | No |
| 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 | No |
| Any physical deformaties or handicaps? If yes, please state | No |
| History of asthma | No To Both |
| Any skin disorders, albinism, ectodermal dyslasia or other in your family – please explain | No |
| 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 | PGM - fibriosis |
| Current age or age of death | MGM - 77 PGM - 83 |
| Grandfathers still alive? | Only MGF |
| If deceased, state cause of death | PGF - kidney failure |
| Current age or age at time of death | MGF - 79 PGF - 87 |
| Grandfathers' eye colour (maternal) | MGF - blue PGF - blue |
| Grandmothers' eye colour (maternal) | MGM - blue PGM - blue |
| Grandfathers' hair colour (maternal) | MGF - brown PGF - brown |
| Grandmothers' hair colour (maternal) | MGM - blonde PGM - brown |
| Health of grandmothers (maternal and paternal) | MGM - healthy PGM - passed away |
| Health of grandfathers (maternal and paternal) | MGF - healthy PGF - passed away |
| Please specify if the race of your grandparents is different to yours. If mixed race, please specify race for maternal and patermal grandparents | MGM - white PGM - white MGF - white PGF - white |
| Any genetic health or psychological concerns worth noting regarding your grandparents | MGM - none PGM - none MGF - none PGF - 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 | 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 |
