S- RA 3198, Midrand
Generate PDFAvailability status: | Available now in Johannesburg and Pretoria |
Race: | White |
Age: | 28 |
Hair colour: | Blonde (natural) curly |
Eye colour: | Green |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.72m., 79kg. |
Face shape: | Round |
Other personal information: | South African nationality, of Scottish and French descent, O+ blood group. Candidate is an ESL teacher. She loves gaming, gaming, cooking and baking and interested in animals, food and music. Non-smoker. Reason for donating: I would like to give someone the opportunity to have a family. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | I am not religious, however I am spiritual |
Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | Midrand, Gauteng |
Nationality | South African |
Where were you born? | Johannesburg |
What language(s) do you speak? | English, Afrikaans and a little Chinese |
Year of birth | 1996 |
Age | 28 |
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? | I would like to give someone the opportunity to have a family. |
How do you best describe yourself? | Kind, big heart and caring. |
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 |
Height in metres | 1.72 |
Weight in kilograms | 78 |
What is your usual or ideal weight? | 75kg. |
Build and body shape | I have love handles, but I am supposed to be slender if I work out. |
Which body part is most sensitive to weight gain or loss? | Stomach, only area that picks up weight. |
Eye colour | Green |
Natural hair colour | Blonde |
Hair colour as a child | Black |
Hair type | Curly |
Hair texture | Thick |
Description of hands and fingers | Thin fingers, hands are a normal size (for my body) |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | 38C breast cup, size 6/ 7 shoe, freckles if I go in the sun, no dimples. |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | Hailee Steinfeld |
Siblings physical traits - hair and eye colour, height, weight and build | Dark hair and light eyes, weight about 100kg. Build- tall and broad shoulders |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | None |
Fertility issues | None of which I am aware |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | I am healthy, I am trying to workout |
Smoker | Ex-smoker |
Alcohol consumption per week. | 0 |
Do you wear glasses? | Never |
How would you rate your sight? | Good |
Any skin disorders, albinism, ectodermal dysplasia, eczema, acne, etc | No, I get the occasional pimple |
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 of which I am aware |
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. | Self inflicted - had an accident (legiments in my knee) |
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. | Pain meds for my knee, I take it more on colder days. |
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? | Only on my knee |
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? | When I Get A Chance |
In which exercises or sports do you partake now? | Crunches, stretches and walking |
Have you excelled in any sports? | Swimming |
What sports did you play at school? | Swimming, basketball and badmington |
Professional and academic information
Occupation | ESL Teacher |
What is your ideal career/ occupation? | Psychologist (criminal or child) |
What are you doing to get to your desired profession in life? | I am saving up to put myself through studies. |
Do you have a matric and university exemption? | Only Matric |
Subjects and grades or marks at school | My grades were fair, I didn't like school, in College I got better grades. I studied film. |
What is the name of any course / degree completed? | Film, T.V and Production |
Planned studies | Psychology |
In what aspects do you have a keen interest? | I love writing and being creative. Writing I am more interested in. |
What type of books do you like to read? | |
Would you prefer to read the book or watch the movie? | Both |
Do you know if your IQ was ever tested and the score please? |
Behavioural traits
What is most important in life to you? | My dog |
If you had unlimited resources and could save one thing on earth what would it be? | Food and I would save animals |
What are your views on religion and spirituality, and practiced religion? | I am not religious, however I am spiritual |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | |
Interests and hobbies | Gaming, cooking, baking, writing |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Cradle of Humankind |
What are your feelings on animal welfare? | I love animals more than I love people. |
Strength and weaknesses | Strength - kind, big heart; weakness - very emotional |
What do others generally think of you? | KInd and caring |
Favourite flower | Tulip or Orchid |
What is your favourite meal? | All |
What is your favourite movie? | Lord of the Rings |
What is your favourite book? | The Immortals - Alyson Noel |
Who is your favourite actor? | Don't have one |
Who is your favourite actress? | Don't have one |
What is your favourite colour? | Dark cold colours, black, purple etc |
What is your favourite colour lipstick? | Don't have one |
What is your favourite perfume? | Sweet smells |
Who is your favourite person? | The person I love |
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? | I tried playing guitar, didn't get far. |
Are you more cultural or more adventurous? | More Adventurous |
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 | Scotland and France |
Language spoken for mother and father | English and Afrikaans |
Professions for mother and father | |
Achievements on an academic level for mother and father | |
Race for mother and father | Both white |
Natural hair colour for mother and father | Mom - blonde, dad - dark brown |
Eye colour for mother and father | Mom - light blue/grey, dad - green |
Height for mother and father | Unsure |
Mother and father build | Mom - full, dad - tall |
Any specific defining traits for both parents | |
Are your parents still alive? | Only my father |
If deceased, cause of death | Mom - suicide |
Age (if living, or age deceased) | Mom - 54, dad - 53 |
Health status | Good |
Please indicate if any twins in your family and the relationship to you | No |
Please list any family members who have had cancer including aunts or uncles and on which family side | 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? | My maternal uncle had diabetes and heart problems. |
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 | MGF - potentially had depression (no further details) |
Any physical deformaties or handicaps? If yes, please state | No |
History of asthma | Only my father |
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? | No to Both |
If deceased, state cause of death | MGM - stroke, PGM - died in a fire |
Current age or age of death | MGM - mid 60's, PGM - 50's |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | MGF - septicaemia, PGF - unsure |
Current age or age at time of death | MGF - mid 60's, PGF - late 50's |
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 - black, PGM - brown |
Health of grandmothers (maternal and paternal) | Unsure while alive |
Health of grandfathers (maternal and paternal) | Unsure while alive |
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 as far as I am aware |
Any notes/ comments re family of family health aspects - genetic ito psychological, physical, deformaties, diseases, concerns | None as far as I am aware |
Egg donation stipulations
Please indicate if you have any donation conditions or criteria such as persons to whom you prefer not to donate | Honestly, I do not have any preference to this question or the next to. I just want someone to be happy and have a healthy child. |
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 |