S – SS 4721, Kzn
Generate PDFAvailability status: | Available now in Durban and Umhlanga, other regions - travel costs |
Race: | White |
Age: | 32 |
Hair colour: | Blonde |
Eye colour: | Green |
Has children: | No |
Proven donor | No |
Post matric studies: | Yes |
Other physical information: | 1.64m., 68kg. |
Face shape: | Square |
Other personal information: | South African nationality, A- blood group. Candidate is employed as a spa stewardess on superyachts. She is outgoing, funny, healthy and enjoys travelling. Non-smoker. Reason for donating: Im not entirely sure if I want children but all for helping and donating to assist someone who isnt able. I am a humanitarian at heart. |
Reproduction history: | No children and no donations as yet. |
What are your views on religion and spirituality, and practiced religion? | Agnostic. Don't conform to one but I do believe there is a higher power. All religions are interesting and have similar concepts. |
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Category: Active Donor
Additional donor information
Initial information
In which town and province do you live? | KZN |
Nationality | South African |
Where were you born? | Durban |
What language(s) do you speak? | English and some Afrikaans |
Year of birth | 1992 |
Age | 32 |
Star sign | Aquarius |
Blood group (if known) | A- |
Why do you want to be an egg donor and if you had a message for your recipient what would it be? | Not entirely sure if I want children but all for helping and donating to assist someone who isnt able. I am a humanitarian at heart. |
How do you best describe yourself? | Great sense of humour, very giving and kind. Enjoy travelling and cooking. Passionate about health and beauty. |
Relationship status | Single |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | inverted triangle |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Almond |
Height in metres | 1.64 |
Weight in kilograms | 68 |
What is your usual or ideal weight? | 65 |
Build and body shape | Hourglass average build |
Which body part is most sensitive to weight gain or loss? | Breasts and thighs |
Eye colour | Green |
Natural hair colour | Blonde |
Hair colour as a child | Blonde |
Hair type | Straight |
Hair texture | Fine |
Description of hands and fingers | Long, thin and average size |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | C-cup, size 5/6 shoe, beauty spots (Nevus) |
Are you left handed or right handed? | Right handed |
With celebrity do you most resemble - physically? | |
How many siblings do you have? |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. of children | |
Fertility issues | No |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | Healthy/ Active |
Smoker | never smoked |
Alcohol consumption per week. | Only on occasion very rare |
Do you wear glasses? | Since Early Adulthood |
How would you rate your sight? | Dont wear them only for driving at night and watching tv battle to see clear far away. I pass my eye test for maritime watchkeeping. |
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. | Mild depression and use lowest dose concerta when working only. |
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 of which I am aware. |
History of asthma | No |
Indicate any medication you are taking and reason for it. | Exsira - antidepression, Concerta - concentration at work |
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? | Hand fracture from car accident |
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. | Balanced healthy diet |
How often do you excercise? | A few times a week |
In which exercises or sports do you partake now? | Yoga mostly and hiking. |
Have you excelled in any sports? | Swimming, life guarding, hockey and dancing. |
What sports did you play at school? | Swimming/ hockey/ tennis/ dancing and lifesaving |
Professional and academic information
Occupation | Spa therapist and stewardess on Yachts |
What is your ideal career/ occupation? | Spa Manager/ owner |
What are you doing to get to your desired profession in life? | Working Abroad |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | Maths Literacy, Biology, Design Art, Consumer Studies, English/Afrikaans, Life Skills |
What is the name of any course / degree completed? | Spa management/ Cosmetology diploma 3 years Cibtac/CIDESCO |
Planned studies | Just adding onto my current qualifications such as Thai massage and Yoga instructor |
In what aspects do you have a keen interest? | Health & Beauty/ Medical/Nature |
What type of books do you like to read? | 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? |
Behavioural traits
What is most important in life to you? | Family and success |
If you had unlimited resources and could save one thing on earth what would it be? | EARTH! |
What are your views on religion and spirituality, and practiced religion? | Agnostic. Don't conform to one but I do believe there is a higher power. All religions are interesting and have similar concepts. |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | Artists, business owners, medical (chiropractics) |
Interests and hobbies | Cooking, travelling, hiking, yoga. |
What is your preferred holiday? | International |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | America/ Asia/ Maldives/ UAE/ Mexico/ UK/ Caribbean/ Europe/ Asia |
What are your feelings on animal welfare? | Animal Lover and supporter. |
Strength and weaknesses | Humaitarian/ struggle to be assertive |
What do others generally think of you? | Funny, loyal and giving |
Favourite flower | Sunflower |
What is your favourite meal? | Asian |
What is your favourite movie? | Step Brothers |
What is your favourite book? | Scar Tissue by Anthony Keidis (RHCP is my favourite band) |
Who is your favourite actor? | Will Farrel |
Who is your favourite actress? | Kate Hudson |
What is your favourite colour? | Blue |
What is your favourite colour lipstick? | Nude |
What is your favourite perfume? | Carolina Harrera - Good Girl |
Who is your favourite person? | My Dad |
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 but my gran and mom are |
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? | Creative |
Family information of genetic parents
Nationality for mother and father | South African |
Country of origin and ancestry for mother and father | UK/ Dutch/French |
Language spoken for mother and father | English & Afrikaans |
Professions for mother and father | Business owner and Administration |
Achievements on an academic level for mother and father | Unsure |
Race for mother and father | Both white |
Natural hair colour for mother and father | Dark brown and blonde |
Eye colour for mother and father | Brown and blue |
Height for mother and father | Normal |
Mother and father build | Same as me |
Any specific defining traits for both parents | Mom - freckles |
Are your parents still alive? | Only my father |
If deceased, cause of death | Unsure |
Age (if living, or age deceased) | Dad - 73 |
Health status | Dad - average, battling with lungs due to smoking 20 years ago |
Please indicate if any twins in your family and the relationship to you | Yes, maternal (1 set fraternal) |
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? | Dad had triple bypass/ Mom’s sibling aneurysm |
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? | Notje 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 | Mild depression |
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 | No |
Alcoholism / substance abuse | No To Both |
Grandmothers still alive? | Only MGM |
If deceased, state cause of death | PGM - old age |
Current age or age of death | MGM - 86, PGM - unsure |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | Aneurysm I think |
Current age or age at time of death | Approximately 40 |
Grandfathers' eye colour (maternal and paternal) | Blue and brown |
Grandmothers' eye colour (maternal and paternal) | Blue |
Grandfathers' hair colour (maternal and paternal) | Brown |
Grandmothers' hair colour (maternal and paternal) | Dark brown |
Health of grandmothers (maternal and paternal) | Physical frailty and mental amazing |
Health of grandfathers (maternal and paternal) | NA |
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 | Durban |
Towns available in which to donate - travel costs will be covered | Cape Town, Stellenbosch, Johannesburg, Pretoria, Port Elizabeth, Durban |
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 |