Donor Number: 241033

General Information

Biological Mother Age: 38 Height: 5'4" Weight: 165 Hair: Black Eyes: Brown

Biological Father Age: 45 Height: 5'8" Weight: 145 Hair: Black Eyes: Brown

Educational Background

High School: John Ehret High School Class of 2023

College/University: LSU Class of 2026

Medical History

Health History:

Have you ever been pregnant? No

If yes, when? N/A

Do you have any children? No

If yes, how many? N/A

Have you ever placed a child up for adoption? No

If yes, when? N/A

Any history of infertility in your family? No

If yes, what? N/A

Deliveries: N/A

#1: Date of delivery: Months trying to conceive:

Birth Weight: At how many weeks/days did you deliver? wks days

#2: Date of delivery: Months trying to conceive:

Birth Weight: At how many weeks/days did you deliver? wks days

#3: Date of delivery: Months trying to conceive:

Birth Weight: At how many weeks/days did you deliver? wks days

Date of last Pap Smear: 10/05/2023 Were the results normal? Yes

Are you currently using birth control? No

If yes, which type & for how long? N/A

Do you have a regular monthly menstrual cycle (every 21-35 days)? Yes

Do you smoke? No

Do you drink alcoholic beverages? No If yes, how often? N/A

Do you use recreational drugs? No

If yes, explain: N/A

Are you currently taking any medications? No

If yes, what medication? N/A

Please describe any medical problems you have had: I’m Healthy

Have you or any of your biological relatives (including your parents, siblings, aunts, uncle, cousins and children) suffered from: (if yes, explain)

Physical birth defects? No

Down Syndrome? No

Mental Retardation? No

Ovarian Cysts? No

Uterine Fibroids? No

Asthma? No

Heart disease? No

Heart attack? No

Coronary artery disease? No

High blood pressure? Yes - Grandma on Dad’s side of the family

Arrhythmia? No

High cholesterol? No

Atherosclerosis? No

Diabetes? No

Thyroid problems? No

Blood clotting disorder? No

Anemia? No

Learning disability/ies? No

Blindness? No

Hearing loss? No

Osteoporosis? No

Dwarfism? No

Huntington’s disease? No

Chronic heartburn? No

Alzheimer’s disease? No

Parkinson’s disease? No

Cerebral Palsy? No

Muscular Dystrophy? No

Seizure Disorder/Epilepsy? No

Cystic Fibrosis? No

Kidney disease? No

Any type of cancer? No

Seriously overweight? No

Multiple birthmarks? No

Alcoholism/heavy alcohol use? No

Recreational or prescription drug abuse? No

Been treated by a psychiatrist? No

Depression? No

Schizophrenia? No

Suicide attempt? No

Other mental illnesses? No

Personality Traits

Please describe your personality and character: Goofy, outgoing, determined and intelligent

What are your hobbies, interests and talents? I like to work out, interest is in politics & law.

Do you play a musical instrument? No If yes, what? N/A

Do you have any particular athletic abilities? No

Please explain: N/A

Do you have any artistic talents? No Please explain: N/A

What do you like to do in your spare time? I like to work out

Why do you want to be an Egg Donor? I want to be an egg donor to help a family have children

What are your favorite books? Just and unjust wars, Russian Politics

What are your academic strengths? Smart since I was a little kid

What accomplishments are you particularly proud of? Graduating high school early and graduating college at 19

If you could pass on a message to the recipient(s) of your egg donation, what would that message be? I would say I hope you have the family you’ve dreamed of!!

Egg Donor Details

Have you ever been an egg donor? No

If yes, when and with what clinic/doctor: N/A

If yes, number of times you’ve donated: N/A

Have you ever been pregnant? N/A

How many children do you have? N/A

Any history of infertility in your family? If so what? No

What type of egg donation arrangement do you wish to have with the Intended Parents?

Yes - Open (Intended Parents meet you and know you. Exchange email address and/or phone number).