EXPANDED PROFILE: Eve737

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1 EPANDED PROFILE: Eve737

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: Eve737 Aries Lips & Cheekbones Legs Nice Sometimes loud, sometimes silent Khloe Kardashian FAVOURITES FOOD/S: BOOK/S: MOVIE/S: SONG/S: DO YOU PLAY A MUSICAL INSTRUMENT? FAVOURITE MUSICAL INSTRUMENT: ACTOR/ESS: CAR: FLOWER: GEM STONE: ANIMAL: 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? Seafood, vegetables, fruit, I also have a sweet tooth Books must be about reallife issues like death, health, growing up, sex, love, money PS. I Love You, In the Heart of the Sea, The Hateful Eight, Django, Unchained Drake, Keep the Family close Kanye West, Saint Pablo No Saxaphone Tom Hardy, Daniel Kaluuya, Nicole Kidman Tesla Strelitzia Hematite (crystal used for grounding oneself) N/A Summer Seville, Spain Salvador Dali, Alan Watts Kanye West Despite his controversies, I would love to talk to him about politics, race, life, success; to hear his take on it all. I believe he is a modern-day thinker and influencer Visual Arts, Life Science, Maths Literature Top 4 in Visual Arts, Maths, Literature. Represented South Africa in Netball; placed top 10 South Africa and top 20 in Europe. Achieved distinctions in Art, English, Math Literature and Life Sciences The only way to make sense out of change is to plunge into it, move with it and join the dance. Alan Watts MECHANICALLY / TECHNICALLY 2: English & Afrikaans

3 SPECIAL SKILLS & PERSONALITY OF FAMILY MEMBERS Music / Artistic / Athletic / Scientific / Math skills / Personality / Employment / Hobbies / Other interesting facts MOTHER: My mother works very hard and would do anything for her children. She is very involved and is strict. But as we got older and had to make our own decisions, she always allowed us to do so. She always makes sure we have everything we need and that everything is clean and tidy. She is very supportive. FATHER: My father works hard but loves to have fun too. He is very skilled (mechanically). He cares a lot for his children and can be emotional. When he was younger he was very good at rugby and tennis. SISTER 1: My sister is hard working and straight to the point. She studies Law. We share most things and get along most of the time. SISTER 2: This sister is also very hard working and is very good with computers. She is nice and soft but can stand up for herself. She recently got married. DONORS HANDWRITING SAMPLE KEIRSEY TEMPERAMENT: TO FOLLOW

4 FACIAL CHARACTERISTICS Face Shape: Rectangular/Heart Face Shape: Oval Eye Shape: Hooded / Down Turned / Almond / Round / Protruding Eye Set: Narrow / Close / Average / Deep/ Wide Eye Size: Small / Average / Eye colour: Brown/Hazel Lip Shape: Full / Thin / Flat upper Lip / Perfect / top lip / Droopy shape Nose Shapes: Wavy / Snub / Flat / Aquiline / Upturned / Straight / Button Hair Line: Straight / Round / Widow s Peak Hair form: Wavy / Slightly Curly / Straight / Ethnic Hair Texture: Average / Thick / Fine / Coarse / Thin Hair Colour: Brown/Dark Brown Premature Graying: Yes / No If yes, at what age: N/A Present hair loss: None / Thinning Complexion: Medium 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 Hourglass Height: 1.80m Weight: 85.0kg BMI: 26.2 Build: Petite/Small/Medium/Athletic//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? 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? 2-3 per week Diet: Vegetarian / Non vegetarian / Other: N/A 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: Tennis, Jogging, Netball Have you had any surgery (ies)? Yes If yes please explain: My gallbladder was removed when I was 21 years old. 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 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? No 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? No

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 Brown Brown Medium Short Medium/ Medium Father Brown Black Medium Tall Average Medium Sister Brown Red Fair Short Average Small Sister Brown Red Fair Tall Average Medium Child MGM - Deceased +/-45 Diabetes Blue Brown Fair Short Medium/ MGF - Deceased +/-85 Alzheimer s Blue Brown Medium Tall Average Medium PGM - Deceased +/-85 Old age Brown Brown Medium Short Average Medium PGF - Deceased +/-45 Fluid in lungs Brown - - Short 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)? 3 Number of Males: 0 Number of Females: 3 How many half siblings are in your immediate family? N/A 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: 0 Number of Females: 0 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 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 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 Father developed high blood pressure in his late 40 s. Father was diagnosed with diabetes at 53 years of age which is controlled with medication. MGM diagnosed with diabetes in her early 40 s. No other information is available.

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 Father was diagnosed with colon cancer in his early 50 s. Treatment of cancer is unknown. He is in remission. MGF was never formally diagnosed, but he was understood to be an alcoholic in the family

EXPANDED PROFILE : Eve722

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