OVUM DONOR PROFILE

Ovum Donor #: OV 5000

This profile is a compilation obtained from an 18-page application that has been completed by the fertility helper.

PERSONAL INFORMATION

Date of Birth: 7/13/1981

Race: Caucasian                                       Ethnic History: Irish, German

Hair Color: Blonde                                     Hair Type:  Wavy

Eye Color: Blue                                          Weight (lbs): 125 lbs

Blood Type: O+

Height: 5'5''                                              Illegal Drug Use: Never

Religion: Catholic                                      Criminal Record: No

Smoker: No                                                How Often: N/A                                     

Alcohol Consumption: Yes                        How Often: 2-3 times per month

PREGNANCIES

Number of Pregnancies: 1                         Number of Abortions: 0        Year:

Number of Children: 1                                Number of Micarriages: 0      Year:      

INFORMATION ABOUT PREGNANCIES

Present Method Of Birth Control: Birth Control Pill

EDUCATIONAL /VOCATIONAL HISTORY

Education: She has a Bachelor's Degree in Earth Science and Environmental Studies and a Master's Degree in Environmental Science.

Plans for Additional Education:  She is currently working on a PH.D. in Geophysics.

Special Achievements: Graduated high school with honors.

Best Subjects in School: Biology

Hobbies and Special Interests: She enjoys singing, cooking, sports, helping the community, reading, symphonies, and art showings.

Employment History: She is currently  a Graduate Teaching Assistant.

Volunteer Work: Habitat for Humanity, church mission work, and helping in soup kitchens

MEDICAL HISTORY

Vision: Good                                              Hearing: Good

Condition of Teeth: Good                         Sexually Transmitted Diseases: None

Previous Hospitalizations/Surgery: Tonsillectomy                                              

Previous Psychiatric History: None

Allergies: Penicillin Diet: Does not eat any red meat, and eats a lot of  greens, tofu, hummus, and fruit. She eats fish such as crab, salmon, eel, and tuna. She drinks soymilk, herbal tea, and coffee. She eats mostly vegetarian meals.

Exercise Program: Yes. Type of Exercise: She does Yoga 3-4 times a week, climbs at the gym 5 days a week for about a half hour. Lifts weights 1 or 2 days a week, and also tries to climb outdoors one day on the weekend. She runs with her dog for a half hour 3-5 times a week and rides her bike to work (3.5 miles one way).

FAMILIAL HEALTH HISTORY

Number of Blood-Related Siblings: 2                         Number of Twins in Family Tree: 0

Special Achievements of Family Members:  Paternal Grandfather had military honors.

LONGEVITY   Please remember that older grandparents may not have had the benefit of modern medicine.)

FAMILIAL MEDICAL HISTORY

Each Fertility Helper was provided with a list of 70 different medical conditions to review including: heart and circulatory conditions, blood disorders, respiratory conditions, illnesses affecting sight/sound/smell, neurological conditions, skin disorders, mental health problems, reproductive system disorders and disorders of the internal organ systems.

This Fertility Helper identified the following conditions in her family members:

This Fertility Helper has agreed to maintain contact for:  more than 10 years

In your own words, describe your personality and character:

I am a very ambitious and hard working person. I have certain goals in life and work hard each day towards accomplishing those goals, taking small steps along the way. I feel as though I am able to communicate and be friends with people of all backgrounds and am comfortable in most social situations.

If you could pass a message to the prospective parent(s), what would that message be?

There is no greater love than that of a parent and a child, and no greater gift than that of a child. It is my desire that you experience all the joy a child can bring to your life, and my wish to be able to help in your dreams of having a family.