EXPANDED PROFILE: Eve747

Transcription

1 EPANDED PROFILE: Eve747

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: Eve747 Libra Eyes Body & Smile Colgate Loud & Contagious Sophia Richie 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: Pasta with bacon and tomato Room, The Curious Incident Of The Dog In The Night-Time The Grinch Rock, Dance & Hip Hop No Piano Meghan Markle Blue Love all cars Lotus, Rose & Sunfower Tanzanite Cat Afternoon Spring China & Mauritius, clear blue waters Confucius Sir Richard Attenborough I admire his passion and patience for his work. I feel like he admires his subjects the way I admire the wonder of children. I love observing their cute logic Accounting, Afrikaans, Mathematics Prefect, Sports Lady of the year, Sports Captain, First team Netball & Softball Fall down seven times, stand up eight. Our greatest glory is not in never falling, but in rising every time we fall. - Confucius 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? MECHANICALLY / TECHNICALLY English and Afrikaans

3 SPECIAL SKILLS & PERSONALITY OF FAMILY MEMBERS Music / Artistic / Athletic / Scientific / Math skills / Personality / Employment / Hobbies / Other interesting facts MOTHER: She runs her own shuttle service for school children. She is a caring human who sees the good in people. She s a great cook! She learned how to cook at a young age when she had to look after her younger siblings while her parents were at work. Her dream is to open a soup kitchen to feed the homeless. She s strict regarding respect and discipline, but deep down has a soft heart. FATHER: Is an easy-going person. He is a very approachable person no matter what the circumstance is and is always willing to help, like my mother. As much as my father may be a softie, he is firm with what is right and what is wrong. He is a very intelligent man and works in the telecommunications industry. He is exceptionally good with figures and analyzing situations. My father enjoys watching sports with family and friends, whether it is live or on TV. BROTHER 1: My brother is good with his hands and absolutely enjoys revamping cars and engines, especially race cars. In his free time, he spends his time at the race track with his wife. From a young age my brother always used to dissemble anything and everything just to see if he was able to assemble it again. In other words, he is determined! He also spends his free time drawing. He is very artistic. I think he should start selling his art BROTHER 2: Intelligent is an understatement! My brother was never the type to sit by a desk and study, but he always magically achieved high marks in school. He is an athlete. If he could be on the sports field day and night, he most definitely would be. He has represented the Western Province in numerous sporting activities. He is also very artistic and puts a lot of time and effort into perfecting his drawings. DONORS HANDWRITING SAMPLE KEIRSEY TEMPERAMENT: 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: Rectangular/Heart Face Shape: Oval / Round Eye Shape: Hooded / Down Turned / Almond / Round / Protruding Eye Set: Narrow / Close / Average / Deep/ Wide Eye Size: Small / Average / Large Eye colour: Green/Blue 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: Medium Brown Premature Greying: Yes / No If yes, at what age: N/A Present hair loss: None / Thinning Complexion: N/A 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 Neat Hour Glass Height: 1.67m Weight: 68.0kg BMI: 24.4 Build: Small/Slender/Medium/Athletic/Large/Stocky Hands: Right-handed/Left-handed/Ambidextrous

5 MEDICAL PROFILE PERSONAL HEALTH HISTORY Blood Group (ABO): N/A Are you adopted? No Rhesus: N/A Are either of your parents adopted? No Vision (without corrective lenses): Poor / Fair / Good / Excellent Do you wear corrective lenses? No If yes, for what problem(s)? Farsighted / Short-sighted / Other: Explain: N/A Hearing (without corrective aids): Poor / Fair / Good / Excellent Do you wear corrective aids? N/A 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? Socially, on special occasions Diet: Vegetarian / Non-vegetarian / Other: N/A Allergies: Yes 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: Penicillin Reaction(s): Hives Age: 15 Explain allergies you have outgrown: N/A Exercise/ Sporting activities: None / Occasional / Regular Type of Exercise: Netball, Softball, Bootcamp, Running 3-4 hours a week Have you had any surgery (ies)? Yes If yes please explain: Removal of wisdom teeth 2015 Have you had any hospitalisation(s) not mentioned above? No Have you had a blood transfusion? No Are you a blood donor? No 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? No If yes, explain: N/A Are you currently taking any medications, prescribed or over the counter? No If yes, please list: N/A 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 suitable by fertility specialist AFC: Measured Have you ever been pregnant? Yes Do you have any children? No If yes, please complete sex: N/A If yes, please complete below: Sex: N/A Year of birth: N/A Health Status: N/A Any special comments concerning your children? N/A Are you currently on any form of birth control? Yes, oral contraceptive pill 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 Gonorrhoea Chlamydia Venereal Warts Herpes Viral Hepatitis B or C Haemophilia 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? October and November 2018

7 FAMILY BIO/HISTORY Year of Birth Health Status Age at time of Death Cause of Death Mother Green Brown Olive Dark Eye Colour Hair Colour Complexion Height (m) Weight (kg) Build 1.68 Medium Athletic Father Brown Brown Olive Dark 1.73 Medium Athletic Brother Green Brown Medium 1.76 Slender Athletic Brother Green Light Brown Olive Dark 1.80 Slender Athletic MGM Green Brown Olive Dark 1.75 Medium Athletic MGF PGM Blue Light Brown PGF Blue Light Brown Fair 1.58 Medium Medium Fair 1.75 Slim 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: 1 Number of Females: 1 How many half siblings are in your immediate family? 1 If so, from which parent? Mother Number of Males: 1 Number of Females: 0 How many adopted siblings are in your immediate family (including yourself)? 0 Number of Males: 0 Number of Females: 0 Are there any twins or triplets in your family? Yes If yes, what relations are they to you? Mother s half-sister is a twin 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 counselling? 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 Anaemia Sickle-cell anaemia Haemophilia/bleeding disorder HIV / AIDS Leukaemia 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 Father was diagnosed with liver disease at the age of 47 years old due to alcohol. He is currently on medication to control the condition. He went through a difficult 18 month period of severely abusing alcohol. He was never diagnosed with alcoholism and has stopped drinking. MGM was diagnosed with Diabetes at the age of 60 years old. The condition is being controlled with Insulin

9 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 You Mother Father Sibling MGM MGF PGM PGF