Sample Profile

The following fictional profile is an example of the unique profile which exists for each of our donors, giving you extensive background on their medical, genetic/family and reproductive history, photographs (current and/or childhood, including siblings), educational achievements, personal goals, and hobbies/activities. Beginning in April 2013 many of our profiles also include a self-made video introduction - see sample below, and read more about it here.




General Characteristics

Donor Age: 29
Heritage: Irish
Race: Caucasian
Religion: Christian
Height: 5' 5''
Weight: 135 lbs.
Eye Color: Blue
Skin Color: Fair/Medium
Hair Color: Light Brown
Hair Texture: Select Hair Texture
Blood Type: O+
Are you predominantly?
  AmbidextrousLeft HandedRight Handed
Please describe your distinguishing features:

Family Characteristics

Are you adopted? NoYes  
Parents Ethnic Origin / Ancestry Height Weight Eye Color Hair Color Complexion
Mother: Caucasian 5' 3" 120 lbs. Blue Blonde Fair
Father: Caucasian 6' 2" 185 lbs. Blue Dark Brown Medium
No. 1 MaleFemale 5' 4" 125 lbs. Blue Dark Blond Fair
No. 2 MaleFemale 6' 0" 180 lbs. Hazel Dark Brown Light Medium
No. 3 MaleFemale feet' inches"  lbs. Select Eye Color Select Hair Color Select Skin Color
No. 4 MaleFemale feet' inches"  lbs. Select Eye Color Select Hair Color Select Skin Color
No. 5 MaleFemale feet' inches"  lbs. Select Eye Color Select Hair Color Select Skin Color
Maternal: European 5' 3" 150 lbs. Blue Blonde Fair/Medium
Paternal: Caucasian/Native American 5' 5" 155 lbs. Hazel Dark Brown Medium
Maternal: European 5' 9" 165 lbs. Blue/Green Brown Medium
Paternal:   6' 1" 195 lbs. Hazel Black Medium

Educational Background / Career Goals

High school years completed: 1 2 3 4 yrs
G.P.A. 4.0   S.A.T score (total): 1250
Other Education:  
College / University: 1 2 3 4 yrs
G.P.A. 3.75  Degree: B.A. B.S.
Major: Marketing and Education (double major)
Post-Graduate Education: 1 2 3 4 5+ yrs
G.P.A.. 4.0   Degrees: Masters
Major: Marketing
What is your current occupation? Senior Account Executive
What are your future career goals? To open my own marketing consulting firm. I also want to teach Marketing in a local university/college.

Health Information

Have you ever had any major illnesses? NoYes
If yes, please explain:  
Any chronic medical conditions? NoYes
If yes, please explain:  
Have you ever been hospitalized for any reason? NoYes
If yes, please explain:  
Have you ever had surgery? NoYes
If yes, please list all surgeries:
  Surgery: Year:
1. Tonsillectomy 1988
Please list any prescription, non-prescription, or recreational drugs that you have used in the past 5 years, or currently use:
  Name of Med: Start Date: End Date: Frequency:
Do you currently have any allergies? NoYes
If yes, are they to: disabledFooddisabledDrugsdisabledPlantsdisabledOther
Please list allergic substances and reactions produced:
  Substance: Reaction:
Do you have any dietary restrictions? NoYes
If yes, please describe:  
Using dietary supplements? (vitamins etc.)? None
Number of alcoholic drinks per week consumed? 1
Have you ever had a drinking problem? NoYes
If yes, please explain:  
Ever been treated for alcohol or drug abuse? NoYes
If yes, please explain:  
Do you smoke cigarettes? NoYes
  How many packs/day?: 
  How long have you been smoking? 
Do you drink coffee? NoYes
  How many cups/day?: 2
How much and what type of exercise do you get? I go to the gym during lunchtime 3 days a week. Also, I bike, hike and swim most weekends.

Any hearing impairments? NoYes
If yes, please explain:  
How is your vision (without corrective lenses)? 20/20
Have you received any blood transfusion? NoYes
If yes, please give date and why:  
Ever been tested for HIV/AIDS? NoYes
If yes, please give dates and results: Negative
 Are you willing to have an AIDS test as part of the donation process? NoYes

Family Genetic History

Are there any genetic conditions or birth defects in your family? NoYes If yes, please explain: 
Where you born with any birth defects? NoYes
(heart defects, cleft lip or palate, etc.)
If yes, please explain: 
Are you of Jewish ancestry? NoYes
If yes, ever been tested as carrier of Tay Sachs? NoYes  Test Results: 
Are you of Black ancestry? NoYes
If yes, ever been tested as carrier of Sickle Cell? NoYes Test Results: 
Are you of Mediterranean (Greek/Italian) ancestry? NoYes
If yes, ever been tested as carrier of Thalassemia? NoYes Test Results: 

Family Medical

  Age Today Health Problems Age Diagnosed Still Living?
Mother: 51     NoYes
Father: 51     NoYes
Sisters(s): 24     NoYes
Brothers(s): 22     NoYes
Daughter(s):       NoYes
Son(s):       NoYes
Mother's Father: 76     NoYes
Mother's Mother: 74     NoYes
Mother's Sister(s): 78     NoYes
Mother's Brother(s):       NoYes
Father's Mother: 78     NoYes
Father's Father: 80     NoYes
Father's Sister(s): 76     NoYes
Father's Brother(s): 78     NoYes
Others:       NoYes

Family Health

Please indicate (by a checkmark) which of the following medical problems you or one of you family members have had:
if neither you nor any of your family members are affected by the below listed problems, please check the box marked "No One"
Cardiovascular: You Mother Father Sibling Others No One
Heart Disease Defect
  1. from birth
  2. other
Heart attack
Hardening of the arteries
High blood pressure
Sickle cell anemia
Hemophilia or other bleeding problem
Immune deficiency
Other blood disorders
Lung Cancer
Other Lung Disease
Skin Cancer
Pigmentation Disorder
Other Skin Disorder
Kidney Disease
Bladder Cancer
Other Urinary Disorders
Gall Stones
Hepatitis A (infectious)
Hepatitis B (serum)
Other Liver Disease
Colon Cancer
Ulcerative Colitis
Crohn's Disease
Intestinal Cancer
Cystic Fibrosis
Male Uro-genital:
Undescended Testicle n/a n/a
Hypospadias n/a n/a
Prostate Cancer n/a n/a
Uterine Fibroids n/a
Ovarian Cysts n/a
Ovarian Cancer n/a
Cancer of Cervix n/a
Cancer of Uterus n/a
Diabetes Mellitus
Thyroid Cancer
Thyroid Disease
Adrenal Dysfunction
Other Endocrine Disorder
Mental Retardation
Senility before age 50
Alzheimer's Disease
Multiple Sclerosis
Cerebral Palsy
Epilepsy or Seizures
Disorders of Spinal Cord
Huntington's Disease
Other Neurological Disorder
Manic Depressive
Severe depression with inability to function
Disorders requiring hospitalization
Nervous Breakdown
Suicide Attempt
Psychiatric Medications
Anxiety/Panic Attacks
Eating Disorders
Drug Abuse/Addiction
Other Mental Disorders
Muscular Dystrophy
Deformity of Spine
Other Muscle/Bone Disorders
Deafness before age 60 n/a
Significant Hearing Loss
Deformity of Ears
Cataracts before age 50 n/a
Color Blindness
Other Sensory Disorders
Breast Cancer
Colon Cancer
Any Cancer Not Listed

Gynecological History

At what age did you begin menstruating? 12 What was the date of your last period? 09/24/06
How often do you get your period (# of days)? 28 How many days do you flow? 4
Have you ever been irregular? NoYes If yes, please explain: 
Are your periods regular now? NoYes If yes, please explain: I get my period every 28 days.
Have you ever had any of the following reproductive problems?
Endometriosis Amenorrhea (cessation of periods)
Miscarriage Pelvic inflammatory disease
Ectopic pregnancy Endocrine dysfunction (e.g. thyroid, adrenal, or pituitary problems)
Other Tubal disease (e.g. adhesion or blockage)
If other, please explain:  

Reproductive History

Have you ever been pregnant before? NoYes
# of pregnancies:   Dates of pregnancies:  
# of children:   Ages of children:  
# of abortions:   Dates of abortions:  
# of miscarriages:   Dates of miscarriages:  
# of stillbirths:   Dates of stillbirths:  
# of deliveries:   Dates of deliveries:  
# of children placed for adoption: 

Personal Characteristics

Please give a brief description of your personality. How you see yourself as a person? 
(Please include any qualities you feel are unique and special to you):
I am very outgoing and love people. I am a little reserved and quiet until I get to know people. But once the ice is broken, I am a talkative, bubbly, fun-loving friend who is very loyal and dependable. I am always there for my friends and family.
What are your interests and hobbies? I am very interested in all things science related, it fascinates me. My hobbies include gardening, reading, writing short stories and cooking.
What are your future goals and aspirations? Eventually I would love to have a home and family. I would also like to start my own consulting firm that I can run from home so I will be able to spend quality time with my children. I also love to share my life experiences with others and hope to teach.
Favorite types of food? Italian and Mexican
Do you have musical skills? NoYes
If yes, what are they? I am trained in classical piano.
Favorite type of music? All things Mozart, Classic Rock, and Country
Do you have artistic talent? NoYes
If yes, what type? Drawing (pencil, and chalk), Photography (primarily black & white landscape and portrait)
Do you have athletic ability? NoYes
If yes, what type? I play on summer softball and soccer teams, and bowl during the winter.
Please describe your relationship with your mother, father, and siblings during childhood and now: 
(include description of parental personatilites and any specific problems you experienced in your history)
My family is amazing. We play sports together, have game and movie nights and still always have Sunday dinners together. When we were growing up, we had our competitive, sibling rivalry moments, but they have passed.


Have you donated your eggs before? NoYes
If yes, when and where?  
Why do you want to be an egg donor? I have some friends who have had a difficult time getting pregnant, and I always felt I was unable to help them. Several have gone through IVF procedures which made me aware of the process, and of the need for donors. By donating, I feel l may be able to help.
What made you decide to become an egg donor? After seeing some of my friends have difficultly tring to get pregnant, I feel I can help other people achieve this goal.
Why do you believe that you would be an excellent egg donor? I am healthy and intelligent. I will follow the protocol exactly and feel I am donating for the right reasons.
What do you feel you will gain personally from being a donor? I will gain the satisfaction of being able to help another human being. It is gratifying to know that there may be something I can do.
What do you want to say to the people who will receive your eggs? I wish them the best. I want them to love and cherish the life that is created by this procedure. Always let the child know how badly they wanted him/her and that they were willing to go through such an intense process to have them brought into their life.
If frozen embryos result from the procedure, who owns them? The recipient couple.
If a child/children are born from your eggs, what is your relationship to them? I am only related to them biologically, nothing more. Just like giving blood, it was mine, I donated it, now the person who has received it has ownership.
Would you feel like a mother? NoYes
Why or why not? A mother has much more than biology invested in a child.
How much would you think of the child/children in the coming years? Often. I would be so proud of the fact that I was able to help a couple have the family they have always dreamed of.
How many times do you think you want to donate? Multiple


Would you want contact with the child/children in the future? NoYes
Why or why not? Not unless the recipient couple wanted it that way. I would not pursue a relationship on my own.
Do you have any concerns about being an egg donor? NoYes
If yes, what are they?  
How would you feel if you were not chosen to be an egg donor? I would be disappointed. Only because I would very much like to help.
Please check any or all of the items below with which you think you might have difficulty:
Frequent visits to doctors office (Bridgeport or Norwalk)
Taking ovarian stimulation hormones Vaginal ultrasounds
Mood swings due to hormonal treatment Blood tests
Taking medicine at the same time each day Injecting yourself daily
Waiting in the recovery room to recover from the procedure Simple vaginal surgical procedure to aspirate eggs
Having someone give you a ride home after the procedure Traveling to Bridgeport, CT for procedure
Please explain any of these potential concerns and how you would overcome them:  

Support System

Who have you told about your plans or desire to be an egg donor? My family, boyfriend and friends.
What do they think? They think it is a very generous thing to do.
Will you tell your parents? NoYes
Why or why not? I have, and they are supportive. Of course, as parents they worry about the physical aspects of the procedure.
If you are married or in a significant relationship, is your spouse or significant other supportive? NoYes
Please describe in detail his or her feelings and attitudes regarding your donation: My boyfriend is very supportive.
Who will be your support system when you go through the donation procedure? Everyone has offered to help me.
Please describe the kind of support you think they will offer: Emotional support and Patience during hormonal mood changes. Rides to and from my doctor appointments.
Please list any other concerns or questions you might have: