S – SL 6235, Krugersdorp
Generate PDF| Availability status: | Available now in Pretoria |
| Race: | White/ Caucasian |
| Age: | 33 |
| Hair colour: | Blonde |
| Eye colour: | Green |
| Has children: | No |
| Smoker: | 0 - 5 per day |
| Proven donor | No |
| Post matric studies: | Yes |
| Other physical information: | 1.65m., 64kg. |
| Face shape: | Triangular |
| Other personal information: | South African nationality Candidate is an ambivert with an ISFJ personality type (same as Queen Elizabeth the 2nd). She comes from a family of intelligent individuals whereby a few of her family members skipped grades in school. She was also asked to but declines. She describers herself as very caring person and mostly puts other's needs before her own. Seeing other's happy makes her very happy. She enjoy sport but due to her busy lifestyle, she can only accommodate her dog at the park for exercise. Light to non-smoker. Reason for donating: I would like to become a donor because I have an extremely busy lifestyle and I would like to make another lady's dreams of becoming a mother true even though I have played a very small part in this process. |
| Reproduction history: | Has Children: No Number of Children: 0 Have you donated eggs before: No |
| What are your views on religion and spirituality, and practiced religion? | I am religious. I practice religion and I believe everyone is here for a reason |
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Category: Active Donor
Additional donor information
Initial information
| In which town do you live? | Krugersdorp |
| In which province do you live? | Gauteng |
| Nationality | South African |
| Where were you born? | Klerksdorp |
| What language(s) do you speak? | Afrikaans, English |
| Year of birth | 1992 |
| Age | 33 |
| Star sign | Taurus |
| 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 would like to become a donor because I have an extremely busy lifestyle and I would like to make another lady's dreams of becoming a mother true even though I have played a very small part in this process. |
| How do you best describe yourself? | I am an ambivert with an ISFJ personality type(same as Queen Elizabeth the 2nd). I come from a family of intelligent individuals whereby a few of my family members skipped grades in school and I could too but chose not to. I am a very caring person and mostly put other's needs before my own. Seeing other's happy makes me very happy. I very much enjoy sport but due to my busy lifestyle I only have time to take my Hungarian Viszla to the dog park for exercise. |
| Relationship status | Engaged |
| Have you donated eggs before? | No |
Physical profile
| Race | White/ Caucasian |
| Skin complexion | Fair |
| Face shape | Triangular |
| Nose shape defined by Wikipedia | Greek - perfect straight nose |
| Eye shape | Almond |
| Height in metres | 1.65 |
| Weight in kilograms | 64 |
| What is your usual or ideal weight? | 62 |
| Build and body shape | Mesomorph |
| Which body part is most sensitive to weight gain or loss? | Bust |
| Eye colour | Green |
| Natural hair colour | Blonde |
| Hair colour as a child | Blonde |
| Hair type | Straight |
| Hair texture | Fine |
| Description of hands and fingers | Slender fingers, vertically long nails |
| Cup size | D |
| Shoe size | 5 Eu |
| Are you left handed or right handed? | Right handed |
| With celebrity do you most resemble - physically? | Not sure. |
| How many siblings do you have? | 1 |
| Sibling 1 Hair Colour | Blonde |
| Sibling 1 Eye Colour | Green |
| Sibling 1 Build | Mesomorph |
Reproductive information
| Are you a virgin? | No |
| Ever miscarried? | No |
| No. of children | 0 |
| Fertility issues | Not aware of any |
Health of egg donor
| Are you a twin? | No |
| Are you adopted? | No |
| Would you consider your lifestyle | Healthy |
| Any current diseases? | Yes |
| Please list | MS |
| Smoker | 0 - 5 per day |
| Alcohol consumption per week. | 0_drinks |
| Do you wear glasses? | Since Early Adulthood |
| How would you rate your sight? | 8 |
| 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? | Yes |
| Please list | Cholesterol |
| 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. | Interferon Beta 1b forMS |
| 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? | Biopsy for MS detection Ovary removal due a cyst |
| 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. | Yes |
| Please list | Diet rich in protein- 70% protein, 15% vegetables and 15% fruits and dairy. Specific vegetables- spinach, carrots green beans, onions, butternut Fruits mostly lychee, berries Protein mostly red meat and Norwegian salmon |
| How often do you excercise? | When I Get A Chance |
| In which exercises or sports do you partake now? | Wall pilates Walking |
| Have you excelled in any sports? | Power walking, 1500m distance running |
| What sports did you play at school? | Netball Athletics |
Professional and academic information
| Occupation | Insurance Broker and part time regulatory exam trainer |
| What is your ideal career/ occupation? | I am in the role I want to be |
| What are you doing to get to your desired profession in life? | Consistent knowledge gaining to stay updated with financial laws |
| Do you have a matric and university exemption? | Matric and Exemption |
| Subjects and grades or marks at school | English 65% Afrikaans 64% Mathematical literacy 70% Life orientation 66% Biology 62% Hospitality studies 62% |
| What is the name of any course / degree completed? | NQF LV4 Regulatory Exam Tefal certificate |
| Planned studies | None |
| In what aspects do you have a keen interest? | Social engineering The human mind and behaviour particularly detecting deception through behavioral factors |
| What type of books do you like to read? | non-fiction |
| 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? | No |
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? | I am religious. I practice religion and I believe everyone is here for a reason |
| Childhood religion? | Christianity however my views have changed since then and I serve without a denomination |
| Any specific achievements or aspects of recognition in your family | Military award for bravery awarded to my father |
| Interests and hobbies | Cooking painting drawing hiking |
| What is your preferred holiday? | Bush |
| If you were offered an all-inclusive holiday, what would it be? | If it was a once in a lifetime - I would take my whole family to enjoy the F1 otherwise it would be in nature |
| Which interesting places have you visited? | I like my country. This is the most beautiful place |
| What are your feelings on animal welfare? | Animals need to be protected |
| Strength and weaknesses | Strengths - cooking, drawing Weaknesses - tolerance for lies, gardening |
| What do others generally think of you? | Im hardworking, no-nonsense taking caring person |
| Favourite flower | Cosmos |
| What is your favourite meal? | Steak with creamed spinach and butternut |
| What is your favourite movie? | Hidalgo |
| What is your favourite book? | I have not discovered a favorite yet but non-fiction is what I like to read. |
| Who is your favourite actor? | Viggo Mortensen |
| Who is your favourite actress? | Melissa McCarthy |
| What is your favourite colour? | Grey |
| What is your favourite colour lipstick? | Soft pink to nude shades |
| What is your favourite perfume? | Dior poison- the original |
| Who is your favourite person? | My father |
| Are you more introverted or extroverted? | Introverted |
| Would you prefer to go out with friends or stay in with a loved one or book? | Depends on the situation |
| 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? | hot |
| Are you more creative or analytical? | analytical |
Family information of genetic parents
| Nationality for mother and father | Mom - South-African Irish descent Dad - South-African Scandinavian German descent |
| Country of origin and ancestry for mother and father | Dad - South-African Scandinavian German descent |
| Language spoken for mother and father | Mom - afrikaans, english Dad - afrikaans, english |
| Professions for mother and father | Mom - retired bookkeeper Dad - retired electrical and mechanical engineer |
| Achievements on an academic level for mother and father | Mom - college Dad - college |
| Race for mother and father | Both white |
| Natural hair colour for mother | Blonde |
| Natural hair colour for father | Brown |
| Eye colour for mother | Brown |
| Eye colour for father | Green |
| Height for mother and father | Mom - 1.60m Dad - 1.69m |
| Mother and father build | Mom - rectangle Dad - rectangle |
| Are your parents still alive? | Yes to Both |
| Age (if living, or age deceased) | Mom - 57 Dad - 64 |
| Health status | Mom - healthy Dad - cholesterol |
| 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 | Cholesterol |
| 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 | generally healthy |
| Alcoholism / substance abuse | No To Both |
| Grandmothers still alive? | No to Both |
| If deceased, state cause of death | ALL due to natural causes |
| Current age or age of death | MGM - 82 PGM - 84 |
| Grandfathers still alive? | No to Both |
| If deceased, state cause of death | All due to natural causes |
| Current age or age at time of death | MGF - 79 PGF - 86 |
| Grandfathers' eye colour (maternal) | Brown |
| Grandfathers' eye colour (paternal) | Green |
| Grandmothers' eye colour (maternal) | Brown |
| Grandmothers' eye colour (paternal) | Brown |
| Grandfathers' hair colour (maternal) | Blonde |
| Grandfathers' hair colour (paternal) | Blonde |
| Grandmothers' hair colour (maternal) | Blonde |
| Grandmothers' hair colour (paternal) | Brown |
| Health of grandmothers (maternal and paternal) | Both good |
| Health of grandfathers (maternal and paternal) | Both 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 | Cholesterol on paternal side |
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 | Bloemfontein |
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 |
