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DONOR 1
Fullname
23012023
Country
USA
Address
Eye Color
Brown
Hair Color
Light Brown
Height
6 feet
Ethnicity
White/Caucasian
Education
Graduate degree
Hobbies
Gardening, Working out/exercising
Anything else would you like to mention about your family medical history to the
Adoptive parent
My grandparents on the father’s side died at the old age. Probably the reason for death was stroke and heat attack. They never went to see a doctor. They lived off the land. My grandmother on my mother’s side is still alive. She has just turned 93. Her husband died probably at age 50 something, complications after pneumonia which he got at the war. At that time it wasn’t treated properly.
Anything else would you like to mention about your talents,skills,interests
I can draw, dance, sing and crochet
DONOR 2
Fullname
Donor sperm
Country
Address
Eye Color
Green
Hair Color
Blond
Height
6,3
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Anything else would you like to mention about your family medical history to the
Adoptive parent
Carpentry, electrical, modern building, and building computers. Bicycling, chess, learning french, kayaking, reading, crossword puzzles, calligraphy, traveling, sailing,
hiking, computer coding, scuba divi
Anything else would you like to mention about your talents,skills,interests
Pat aunt high blood pressure at 41.
One sibling has asthma.
Uncle - kidney stones.
Mother - migraine
BASIC INORMATION
Full name
23012023
Donor sperm
Country
USA
Address
Eye color
Brown
Green
Hair color
Light Brown
Blond
Height
6 feet
6,3
Ethnicity
White/Caucasian
White/Caucasian
Education
Graduate degree
Bachelor’s degree
Hobbies
Gardening, Working out/exercising
Anything else would you like to mention about your family medical history to the
adoptive parent
My grandparents on the father’s side died at the old age. Probably the reason for death was stroke and heat attack. They never went to see a doctor. They lived off the land. My grandmother on my mother’s side is still alive. She has just turned 93. Her husband died probably at age 50 something, complications after pneumonia which he got at the war. At that time it wasn’t treated properly.
Pat aunt high blood pressure at 41.
One sibling has asthma.
Uncle - kidney stones.
Mother - migraine
Anything else would you like to mention about your talents, skills, interests
I can draw, dance, sing and crochet
Carpentry, electrical, modern building, and building computers. Bicycling, chess, learning french, kayaking, reading, crossword puzzles, calligraphy, traveling, sailing,
hiking, computer coding, scuba divi








Photos
PHOTOS
EMBRYO
How many embryos do you wish to donate
What are the grades of the embryos?
3
I don’t know
Have the embryos been genetically tested
Yes
Do you know the gender of the embryos
All boys
Have the embryos from this batch resulted in a life birth
Age of embryos when they were frozen
Yes
3 days
How long ago the embryos were created
Genetic mother’s age at the egg retrieval
Less than 5 years ago
Less than 40 years old
Have the embryos from this batch been already donated to another adoptive parent
No
Embryo
MEDICAL HISTORY
DONOR 1
DONOR 2
Allergy
Alzheimer
Anxiety
Asthma
Autism
Bipolar disorder
Cancer
Celiac disease
Cystic fibrosis
Depression
Diabetes
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Hemochromatosis
High blood pressure
Huntington’s disease
Lupus
Marfan syndrome
Multiple sclerosis
Obesity
Phenylketonuria
Polycystic kidney disease
Rheumatoid arthritis
Schizophrenia
Stroke
Substance abuse
Tay-Sachs disease
Medical Histroy