A – WS 2722, Cape Town
Generate PDFAvailability status: | Only available to mid November in Cape Town |
Race: | White/ Caucasian |
Age: | 33 |
Hair colour: | Curly light brown hair |
Eye colour: | Blue eyes |
Has children: | No |
Proven donor | Yes |
Post matric studies: | Yes |
Other physical information: | 1.63m., 62kg., petite with an hourglass shape, fair skin complexion, B breast cup, size 3 shoe. |
Face shape: | Not Selected |
Other personal information: | South African nationality, of Scottish ancestry, O- blood type, Cancer star sign, Christian. Candidate is employed in sales and taking up a course in lecturing to teach somatology. She is interested in the outdoors, nature and loves all activities (hiking cycling and family time) She worked on a cruise liner for many years and now investing in closer relationships. Non-smoker. Reason for donating: i would like to be an egg donor because i understand that it must be very difficult and upsetting to want a family but be unable to have that and know that it can cause extensive strain on a marriage, so if i can help nothing will make me happier than to be able to do that for someone. |
Reproduction history: | No children and proven egg donor resulting in a pregnancy. |
What are your views on religion and spirituality, and practiced religion? | Christian |
SKU: 96582
Category: Uncategorized
Additional donor information
Initial information
In which town and province do you live? | Cape Town, Western Cape |
Nationality | South African |
Where were you born? | Johannesburg |
What language(s) do you speak? | English and Afrikaans |
Year of birth | 1986 |
Age | 33 |
Star sign | Cancerian |
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 be an egg donor because I understand that it must be very difficult and upsetting to want a family but be unable to have that and know that it can cause extensive strain on a marriage, so if I can help nothing will make me happier than to be able to do that for someone. |
How do you best describe yourself? | I am a interesting sharp witted optimistic quirky individual. who doesn't like fitting in or following trends, I enjoy being different and am confident in that. |
Relationship status | Single |
Physical profile
Race | White/ Caucasian |
Skin complexion | Fair |
Face shape | Not Selected |
Nose shape defined by Wikipedia | Greek - perfect straight nose |
Eye shape | Round Almond |
Height in metres | 1.63m. |
Weight in kilograms | 62kg. |
What is your usual or ideal weight? | 58kg |
Build and body shape | Petite with an hourglass shape ( got a bit of hips and bum) |
Which body part is most sensitive to weight gain or loss? | Hips and bum |
Eye colour | Blue |
Natural hair colour | Brown |
Hair colour as a child | Light brown |
Hair type | Curly |
Hair texture | medium |
Description of hands and fingers | Small hands with squarish shaped nail beds |
Any other defining traits such as breast cup, size shoe size, freckles, dimples, etc | B cup bra size, size 3 shoe, prone to freckles but don't have many as I protect my skin. |
Are you left handed or right handed? | Left handed |
With celebrity do you most resemble - physically? | Sienna Miller |
Siblings physical traits - hair and eye colour, height, weight and build | I have two brothers one is more of a stockier build and the other has a leaner build like myself we all have blue eyes and they are blond with when longer hair has a curl to it both have a slight front receding hair line. |
Reproductive information
Are you a virgin? | No |
Ever miscarried? | No |
No. and ages of children (if applicable) | None |
Fertility issues | No |
Health of egg donor
Are you a twin? | No |
Are you adopted? | No |
Current health status lifestyle and/ or current diseases | I am a healthy individual with no health issues and live a reasonably healthy lifestyle and try to eat clean food majority of the time. |
Smoker | never smoked |
Alcohol consumption per week. | None |
Do you wear glasses? | Never |
How would you rate your sight? | Very good |
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? | No |
Have you had any cancer? | No |
Have you had any heart problems? | No |
Please indicate if you have any allergies | Dust mite |
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 | No |
Indicate any medication you are taking and reason for it. | Pill, PregoMega (for folic acid), evening primrose oil, Vitamin C |
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? | Cyst removed in 2012 |
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. | I prefer to eat a mainly organic diet as it makes me better and more energetic. This is just a personal preference, but I don't restrict any foods. |
How often do you excercise? | Not Selected |
In which exercises or sports do you partake now? | I enjoy walking and running, yoga, weight lifting and meditation |
Have you excelled in any sports? | I enjoy sports more as an adult in what makes me feel good enjoy pushing myself so Crossfit would be a very good one |
What sports did you play at school? | Hockey and water polo and tennis |
Professional and academic information
Occupation | Working on a ship |
What is your ideal career/ occupation? | Somatology Lecturer |
What are you doing to get to your desired profession in life? | Working on a ship |
Do you have a matric and university exemption? | Matric and Exemption |
Subjects and grades or marks at school | English First Language 60%, Afrikaans Second Language 72%, Biology 50%, Home Economics 62%, Computer Typing 68%, Computer Studies N3 74%, Geography 73% |
What is the name of any course / degree completed? | N3 basic computer literacy, Somatology course full time 2 years, HR Training and Development Management UCT short course distance learning |
Planned studies | Lecturing course |
In what aspects do you have a keen interest? | Health, fitness, diet and organising anything that i find peaks my interest really that would tie into the above categories |
What type of books do you like to read? | |
Would you prefer to read the book or watch the movie? | Watch the Movie |
Do you know if your IQ was ever tested and the score please? | dont know |
Behavioural traits
What is most important in life to you? | Happiness |
If you had unlimited resources and could save one thing on earth what would it be? | Ozone layer as we are finding that due to poor research and information we are now in a predicament |
What are your views on religion and spirituality, and practiced religion? | Christian |
Childhood religion? | Christian |
Any specific achievements or aspects of recognition in your family | My brother has served in the British Army for over 5 years and even did 2 contracts in Afgan. My cousin is a SA world Champion in Javelin. |
Interests and hobbies | i love animals and one of my side line jobs i do is house and animal sitting for people when they need to go away and need someone reliable and someone that will love and cuddle their furry babies when they are not home. |
What is your preferred holiday? | |
If you were offered an all-inclusive holiday, what would it be? | |
Which interesting places have you visited? | Norway, Canada, New York, Bahamas and Carribbean |
What are your feelings on animal welfare? | It is super important to me, rather adopt than breed |
Strength and weaknesses | I am a great communicator |
What do others generally think of you? | Honest, reliable, open and trusting |
Favourite flower | Protea |
What is your favourite meal? | Cottage Pie |
What is your favourite movie? | The Finest Hours |
What is your favourite book? | Five Love Languages |
Who is your favourite actor? | Will Farrell |
Who is your favourite actress? | Amy Schumer |
What is your favourite colour? | Mint Green |
What is your favourite colour lipstick? | lip Ice |
What is your favourite perfume? | Gucci Rush, Ralph Lauren Au Fresh |
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? | Go out with friends |
Are you musical or played any musical instruments? | no |
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 from Scotland |
Language spoken for mother and father | Both English and Afrikaans |
Professions for mother and father | Mom bookkeeper; dad -self employed Insurance Assessor |
Achievements on an academic level for mother and father | Mom - bookkeeping, office management, HR basics, Pastel; dad - police achievement, Insurance Certification |
Race for mother and father | Both caucasian/ white |
Natural hair colour for mother and father | Both brown |
Eye colour for mother and father | Mom - green, dad - blue |
Height for mother and father | Mom - 1.63m., dad - 1.83m. |
Mother and father build | Mom - medium build, dad - slim build |
Any specific defining traits for both parents | Mom - carries weight on hips, thighs and legs; dad - lean build but has the classic stomach |
Are your parents still alive? | Yes to Both |
If deceased, cause of death | Not Applicable |
Age (if living, or age deceased) | Mom - 56, dad - 62 |
Health status | Mom - healthy, dad - adult diabetes and adult ashtma |
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 | PGM had breast cancer |
Any fertility problems in your family | My mom used fertility treatment to fall pregnant with me but conceived my brothers naturally. |
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 - adult onset diabetes managed with diet and adult ashtma |
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 |
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 | Yes, my cousin has cerebral palsy due to birthing complications |
History of asthma | Only my father |
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? | No to Both |
If deceased, state cause of death | MGM - natural causes, PGM - lost battle to breast cancer |
Current age or age of death | MGM - 70, PGM -55 |
Grandfathers still alive? | No to Both |
If deceased, state cause of death | MGF - parkinson disease and age, PGF - stroke |
Current age or age at time of death | MGF - 75, PGF - 85 |
Grandfathers' eye colour (maternal and paternal) | MGF - green, PGF - blue |
Grandmothers' eye colour (maternal and paternal) | MGM - brown, PGM - blue |
Grandfathers' hair colour (maternal and paternal) | Both black |
Grandmothers' hair colour (maternal and paternal) | Both 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/ caucasian |
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 | No |
Preferred town to donate | Cape Town |
Towns available in which to donate - travel costs will be covered |
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 |