EXPANDED PROFILE : Eve710

Transcription

1 EPANDED PROFILE : Eve710

2 SOME INTERESTING FACTS ABOUT: YOUR STAR SIGN: WHAT DO YOU CONSIDER AS YOUR BEST FACIAL FEATURE: WHAT DO YOU CONSIDER TO BE YOUR BEST PHYSICAL FEATURE: HOW WOULD YOU DESCRIBE YOUR SMILE: HOW WOULD YOU DESCRIBE YOUR LAUGH: WHICH ACTRESS OR FAMOUS PERSON YOU THINK YOU RESEMBLE: Eve710 Aquarius My smile My legs/bum Beautiful Contagious Kristen Bell FAVOURITES FOOD/S: BOOK/S: MOVIE/S: SONG/S: DO YOU PLAY A MUSICAL INSTRUMENT? FAVOURITE MUSICAL INSTRUMENT: ACTOR/ESS: COLOUR: CAR: FLOWER: GEM STONE: ANIMAL: TIME OF DAY: SEASON: DESTINATION: HISTORICAL FIGURE: PERSON YOU WOULD MOST LIKE TO MEET: WHY? FAVOURITE SCHOOL: ANY SPECIAL AWARDS/ACHIEVEMENTS: FAVOURITE QUOTE: PERSONAL PREFERENCES/ABILITIES ARE YOU SKILLED: HOW WOULD YOU RATE YOUR ABILITY IN MATH: LITERARY SKILLS: SCIENTIFIC/ RESEARCH ABILITIES: ARTICTIC TALENTS: MUSIC SKILLS / ABILITIES: ATHLETIC ABILITIES: HOW MANY LANGUAGES CAN YOU SPEAK? Lamb, Pumpkin, Feta Cheese All of Malcolm Gladwell s books, absolute favourite is Blink, philosophy books, history books, history fiction We are the Titans Macklemore Same Love Yes, drums, timpani and the harmonica Drums Owen Wilson and Al Pacino Yellow Alfa GT Sunflower Quartz Dolphin Morning Spring Anywhere where there is snow! Nelson Mandela Nelson Mandela To thank him. Art, Biology and English I always came top 5 in class, always won prizes for academic excellence, toastmasters, drama, music and sport Not specified MECHANICALLY / TECHNICALLY English, Afrikaans, isihosa, basic Swedish and I am learning Zulu.

3 SPECIAL SKILLS & PERSONALITY OF FAMILY MEMBERS Music / Artistic / Athletic / Scientific / Math skills / Personality / Employment / Hobbies / Other interesting facts MOTHER: My mom runs my dad s practice. She is extremely organised and an absolute people-person. I have not come across anyone that does not like her. She makes people laugh, is selfless and kind and very, very creative. She is patient and enthusiastic about everything. My mom is very fit and plays tennis. FATHER: My dad is a dentist. He also studied Zoology, Maths and Medicine up to 6 th year. He is incredibly smart and has an amazing memory. He is witty, organised and has a meticulous eye for detail. He enjoys working with his hands. My dad is also very athletic and is still running marathons. SISTER: My sister is my favourite person in all of the world She is hilarious, a born entertainer who gets joy out of making others laugh. She is also very smart, studying Law. She is incredibly athletic and excelled in tennis, squash and hockey. It is like there isn t anything she can t do. We get along extremely well! DONORS HANDWRITING SAMPLE KEIRSEY TEMPERAMENT: GUARDIAN oua Guardians are the cornerstone of society, for they are the temperament given to serving and preserving our most important social institutions. Guardians have natural talent in managing goods and services--from supervision to maintenance and supply -- and they use all their skills to keep things running smoothly in their families, communities, schools, churches, hospitals, and businesses. All Guardians share the following core characteristics: Guardians pride themselves on being dependable, helpful, and hard-working. Guardians make loyal mates, responsible parents, and stabilizing leaders. Guardians tend to be dutiful, cautious, humble, and focused on credentials and traditions. Guardians are concerned citizens who trust authority, join groups, seek security, prize gratitude, and dream of meting out justice. Guardians can have a lot of fun with their friends, but they are quite serious about their duties and responsibilities. Guardians take pride in being dependable and trustworthy; if there's a job to be done, they can be counted on to put their shoulder to the wheel. Guardians also believe in law and order and sometimes worry that respect for authority even a fundamental sense of right and wrong, is being lost. Perhaps this is why Guardians honour customs and traditions so strongly -- they are familiar patterns that help bring stability to our modern, fast-paced world. Practical and down-to-earth, Guardians believe in following the rules and cooperating with others. They are not very comfortable winging it or blazing new trails; working steadily within the system is the Guardian way, for in the long run loyalty, discipline, and teamwork get the job done right. Guardians are meticulous about schedules and have a sharp eye for proper procedures. They are cautious about change, even though they know that change can be healthy for an institution. Better to go slowly, they say, and look before you leap. Guardians make up as much as 40 to 45 percent of the population, and a good thing, because they usually end up doing all the indispensable but thankless jobs the rest of the population takes for granted. Guardian Portraits: Mother Teresa, William Howard Taft, Harry S. Truman, George Washington

4 FACIAL CHARACTERISTICS Face Shape: Oval Eye Shape: Hooded / Down Turned / Almond / Round / Protruding Eye Set: Narrow / Close / Average / Deep/ Wide Eye Size: Small / Average / Large Eye colour: Blue/Grey Lip Shape: Full / Thin / Flat upper Lip / Perfect / Large top lip / Droopy shape Nose Shapes: Wavy / Snub / Flat / Aquiline / Upturned / Straight Hair Line: Straight / Round / Widow s Peak Hair form: Wavy / Slightly Curly / Straight / Ethnic Hair Texture: Average / Thick / Fine / Coarse / Thin Hair Colour: Dark blond Premature Graying: Yes / No, If yes, at what age: N/A Present hair loss: None / Thinning Complexion: Fair Tan Ability: None / Slight / Medium / Easy Cheek Bones: High / Low / Wide / Flat / Pointed Facial Features: Moles / Freckles / Dimples / Beauty Spots / Cleft Chin / Gap tooth /Overbite/ None PHYSICAL CHARACTERISTICS Body Shape: The Lean Column Height: 1.56m Weight: 55.0kg BMI: 22.6 Build: Petite/Small/Medium/Athletic/Large/Stocky Hands: Right-handed/Left-handed/Ambidextrous

5 MEDICAL PROFILE PERSONAL HEALTH HISTORY Blood Group (ABO): N/A Rhesus: N/A Are you adopted? No Are either of your parents adopted? No Vision (without corrective lenses): Poor / Fair / Good / Excellent Do you wear corrective lenses? Yes If yes, for what problem(s)? Farsighted / Short-sighted / Other: Explain: For reading, especially on my computer Hearing (without corrective aids): Poor / Fair / Good / Excellent Do you wear corrective aids? No If yes, for what problems? N/A Do you smoke cigarettes? No If yes, how many per day? N/A Do you drink alcohol? Yes If yes, how often? On occasion, at braai s, functions Diet: Vegetarian / Non vegetarian / Other: Allergies: No If yes, are they to: Food(s) / Medication(s) / Cosmetics / Environmental / Animals / Insects For each allergy, describe specific substance and reaction(s) and age first noticed: Substance: N/A Reaction(s): N/A Age: N/A Explain allergies you have outgrown: N/A Exercise/ Sporting activities: None / Occasional / Regular Type of Exercise: I have played a number of sports very competitively, including Hockey, Athletics, Tennis, Squash, Netball, Water Polo and Swimming. Now I run a lot and do boxing fitness. I especially love trail running. Have you had any surgery (ies)? No If yes please explain: N/A Have you had any hospitalisation(s) not mentioned above? No Have you had a blood transfusion? No Are you a blood donor? Yes Have you ever been excluded from blood donation for reason of infectious disease? No Have you had major radiation or x-ray exposure? No If yes, explain: N/A Have you had any psychological or psychiatric care? Yes If yes, explain: For circumstantial depression. I saw a Psychiatrist in 2016, I struggled to adjust to life in Cape Town when I first arrived. I have since seen him once every 6 months or so, to check-in. Are you currently taking any medications, prescribed or over the counter? Yes If yes, please list: Wellbutrin and Cipralex Are you currently using any recreational drugs? No If yes, please list: N/A Do you have any physical deformities for which you have sought surgical corrections? No If so, please explain: N/A

6 Have you ever been tested as a carrier of? Tay-Sach s disease Sickle Cell disease Thalassemia Cystic Fibrosis Carrier Non-carrier Unknown FERTILITY HISTORY AMH: Not tested, as AFC was found to be adequate by a fertility specialist AFC: Measured Have you ever been pregnant? No Do you have any children? No If yes, please complete sex : N/A Any special comments concerning your children? N/A Are you currently on any form of birth control? No Do you have a regular period? Yes Is there any history of fertility problems in your family (difficulty conceiving or miscarriages)? No PSYCHOLOGICAL ASSESSMENT All our donors undergo psychological screening prior to their first donation. This assessment and subsequent assessments are valid for one year. SEUAL HEALTH HISTORY Have you or any of your sexual partner been in contact with anyone or have personally been treated for any of the following: NO TO ALL Self Partner When HIV NSU (non specific urethritis) Syphilis Gonorrhea Chlamydia Venereal Warts Herpes Viral Hepatitis B or C Hemophilia Received human-derived clotting factor concentrates IV (intravenous) drug use Other sexually transmitted diseases Do you practice safe sex at all times? Yes Do you consider your sexual practices risky for HIV infection? No Have you or any of your sexual partners: -engaged in sexual relations with a partner of the same sex during the last 5 years? No -had sex in exchange for money or drugs in the preceding 5 years? No -within the past 12 months undergone tattooing, acupuncture, ear or body piercing? Yes, a tattoo in May 2017

7 Year of Birth Health Status Age at time of Death Cause of Death Eye Colour Hair Colour Complexion Height (m) Weight (kg) Build FAMILY BIO/HISTORY Mother Green Medium Brown Fair Medium Father Blue Blonde Fair Medium Brother Sister Blue Blonde Fair Medium Child MGM MGF PGM Blue Blonde Fair Small PGF - Deceased 88 Heart failure Brown Brown Medium 1.85 Unknown Medium (MGM = Maternal Grandmother, MGF = Maternal Grandfather, PGM = Paternal Grandmother, PGF = Paternal Grandfather, - = Unknown) How many blood siblings are in your immediate family (including yourself)? 2 Number of Males: 0 Number of Females: 2 How many half siblings are in your immediate family? 0 If so, from which parent? N/A Number of Males: 0 Number of Females: 0 How many adopted siblings are in your immediate family (including yourself)? 0 Number of Males: Number of Females: Are there any twins or triplets in your family? No If yes, what relations are they to you? N/A Are there any known genetic diseases or conditions that run in your family? No If yes, please identify: N/A Have you or any family members described above had genetic counseling? No If yes, please describe: N/A Are there any members of your family with a history of learning disabilities? No If yes, please explain: N/A

8 Medical problems which are present in biological family members: You Mother Father Sibling MGM MGF PGM PGF HEART Stroke Heart attack Heart disease or defect 1. from birth 2. other Hardening of the arteries High blood pressure Hereditary high cholesterol High cholesterol level BLOOD Anemia Sickle-cell anemia Hemophilia/bleeding disorder HIV / AIDS Leukemia Other blood disorder RESPIRATORY Asthma Lung cancer Emphysema Tuberculosis GASTRO-INTESTINAL Ulcer of stomach/duodenum Hepatitis (all types) Cirrhosis Other liver disease Ulcerative colitis Crohn's disease Pyloric stenosis Multiple Polyposis of colon Rectal disorder METABOLIC/ENDOCRINE Diabetes (age of onset) Thyroid disease Goiter Hyperactivity Phenyl Ketonuria (PKU) Cystic fibrosis Dwarfism Lupus/other auto immune diseases URINARY Kidney disease Other disease/defect of urinary tract N/A

9 You Mother Father Sibling MGM MGF PGM PGF NEUROLOGICAL Migraines Mental retardation Senility before age 50 Multiple Sclerosis Cerebral Palsy Epilepsy/seizure Hydrocephalus Spina bifida neural tube defect Tuberous Sclerosis Parkinsonism Creutzfeldt-Jakob Disease Scoliosis MENTAL HEALTH Depression Schizophrenia Manic depressive/bipolar disorder Alcoholism Drug abuse, misuse or addiction MUSCLE/BONE/JOINTS Muscular dystrophy Loss of muscle coordination Other chronic muscle disease Osteoporosis Marfan Syndrome Arthritis SIGHT/SOUND/SMELL Deafness before age 60 Deformity of the ear Cataracts before age 50 Blindness Colour blindness Severe Myopia Glaucoma Retinoblastoma Retinitis Pigmentosa Other sight/sound/smell disorder SKIN Acne Albinism Eczema Pigmentation disorders Neurofibromatosis Other disorders of the skin CANCER Breast Ovarian Colon Skin Thyroid cervical Uterine Other GENETIC / CHROMOSOME Down Syndrome Turner Syndrome Fragile Syndrome OTHER Donor suffered from migraines from the age of 17 and they were treated with medication but she seems to have outgrown them. MGM went blind in her 50 s. The cause was unknown. There is no other incidence of blindness in the family. Father had Prostate Cancer when he was 54. The cancer was treated (and cleared) through surgery. No further treatment was needed. He has been in remission since. PGF has Parkinson s disease. No further information.