Oregon Health & Science University         PROFILE FOR SPERM DONOR   #9883
Andrology/Embryology Lab
3303 Bond Ave.,  CH10F
Portland, OR 97239-4501
Phone: (503) 418-3700

PHYSICAL CHARACTERISTICS
Height: 6'3" Weight: 182 Hair Color: Black
Eye Color: Light brown/hazel Hair Type: Thick, very wavy Complexion: Light brown
Race: Likely African/Caucasian Mother's Ethnic Background: Jamaican (West Indian Black)

Father's Ethnic Background: Jamaican (Trinidad, Tobago)
Blood Type:

FAMILY AND MEDICAL HISTORY For each item below, if there is a history of the condition, the condition poses a risk of one percent or less to offspring. The family relationship is indicated.

Alcoholism: Edema: Mental disorders:
Allergy: Mother(spring allergies: dust, pollen) Emphysema: Mental retardation:
Anemia: Epilepsy: Miscarriages:
Asthma: Glaucoma: Stillbirths:
Blindness: Goiter: Migraine:
Cancer: Gout: Muscular dystrophy:
Cataracts: Heart attack: Myasthenia gravis:
Cirrhosis: Heart disease: Paraplegia:
Cleft palate or lip: Hemophilia: Parkinson's:
Club foot: Hermaphroditism: Psoriasis:
Color blindness: Hernia, inguinal: Sickle cell anemia:
Cystic fibrosis: Huntington's chorea: Tay Sachs disease:
Deafness: Hypertension: Thalassemia:
Diabetes: Jaundice: Undescended testicles:
Dislocated hip: Juvenile arthritis:
Eczema: Lymphedema:

ABBREVIATIONS: M=Mother, or Maternal S=Sibling F,P=Father, or Paternal N=Nephew or Niece GF, GM=Grandfather, Grandmother A=Aunt U=Uncle C=Cousin

MEDICAL HISTORY COMMENTS: The donor's father (in his 50's), mother (40's), a brother (late teens), PGF (90's), PGM (late 80's), MGF (80's), MGM ( (late 70's), 5 paternal aunts/uncles (late 40's - 50's), and 1 maternal uncle (40's) are all living and in good health for their ages. The donor states that there is a tendency for high blood pressure in his mother's family. Two paternal uncles died in adulthood of infectious disease.

EDUCATION: Subject of study Location of University Type of University
> 1 year college


Baccalaureate Degree Social Work Washington Private
Master's Degree


Professional Degree



OCCUPATION: manages his own construction trade business

RELIGION: Catholic

Social History:

1. Do you have any special talents?

Athletic. Intelligent.

2. Are there any special talents that seem to run in your family? (athletics, music, artistic, etc.)

Athletics. Intelligence.

3. What are your interests and hobbies?

Athletics. Reading (non-fiction mostly), attending theater plays and musicals.

4. What did you enjoy studying in high school and college?

Humanities, English.

5. High School GPA      College GPA 3.7     I.Q.

6. How would you describe your personality characteristics?

Outgoing, funny, extraverted, leader, thoughtful.

7. Why do you want to be a sperm donor?

Additional Descriptive Characteristics:

Handedness: Right Foot/Shoe Size: 11 ½

Hairy Chest: No Hairy: No Beard Color: Black

Any Distinguishing Features (Dimples, Cleft Chin, Roman Nose, Freckles, etc.):

Acne problems:

Reactivity/Sensitivity to sun exposure:

Do you smoke? No

Family Social History:


Education Occupation Interests Eye Color Hair Color Height Body Type
PGF


Brown Black 6'0"
PGM


Blue/

Green


MGF


Brown Black 5'9"
MGM


Brown


Father University graduate

Brown/

Hazel

 Black 5'11"
Mother University graduate

Brown Black 5'10"
Brother some college

Brown Black 6'3" slim

(Note: This information is presented as provided to OHSU by the donor. No other family information available.)

<>Comments Following an Interview Donor #: 9883 with the OHSU Fertility Consultants Clinic Counselor:

Donor #9883 is a very impressive young man. He graduated from college with an undergraduate degree in Social Work. He is interested in pursuing graduate education in either law or political science. He has started his own business recently in the construction trades and it is going well and has been very successful. He states his motivation to be a donor is to help others and for the financial compensation. He does not see any drawbacks to being an anonymous donor and has no ethical conflicts with passing his genes on this way. He hopes to have a large family of his own one day and would like to have at least five children.

Donor grew up on the West Coast in a stable family. His father is an accountant and his mother a para-legal. He is the oldest of three children. His brother is a college student studying psychology. His sister, who was adopted, is a high school student. Other than high blood pressure on his mother's side there are no health problems that he is aware of in his family or origin. There is no history of mental illness in the family and the donor has never sought counseling. This donor has no legal or financial problems, and he put himself through college and worked at the same time. He has no history of physical, sexual, or psychological abuse. He is an average social drinker, and a non-smoker.

Donor is very athletic and enjoys playing sports with a passion. He plays soccer regularly and in college played several sports on recreational teams. He also loves basketball, volleyball, and in high school was a varsity soccer player. He loves reading legal thriller novels, and he loves music, especially Calypso music from Trinidad. He enjoys travel and has been to Africa, and plans on returning there to visit friends. His ambition is to go to law school and become a lawyer if he stays in this country. If he moves to a country in Africa, he may decide to pursue social work.

Donor #9883 is a very handsome, tall man with a friendly and outgoing personality. He is Caribbean and travels back to the islands to visit his extended family often. He has hazel eyes and very straight teeth and a lovely smile. His answers to questions in this interview were very thoughtful and considerate. He believes that passing on his genes to someone who would want a child is a good thing to do and he has no hesitations in becoming a donor. He has not decided whether he would ever want to be an identity release donor and was advised that this decision was completely up to him. He has chosen at this time to remain anonymous. It was a complete pleasure to interview this bright and very sweet personable young man as he has a very upbeat personality, is very intelligent, and smiles often. I recommend his as a donor for OHSU

Summary of the Taylor-Johnson Temperament Analysis:

Donor #9883 took the Taylor Johnson Temperament Analysis and scored in the "excellent" range in seven of the nine measurements of personality. In the last two measurements he scored in the "acceptable" range. He had no scores in the "needs improvement" or "improvement desirable" range.

The first score in the "excellent" range was in the measurement of "self-discipline" versus "impulsive." A self disciplined person is very organized, methodical, planful, and can stick to a goal or task until they complete it. They have good follow-through and excellent self-control. This type of person doesn't continually shift theri desires and interests but instead pursues their set passions. A person opposite of this would be one that can not set goals, has poor planning abilities does not follow-through on tasks or assignments.

The second score in the "excellent" range was in the measurement of "tolerant" vs "hostile." A tolerant person is an accepting, thoughtful, patient and humane person. They are critical thinkers but not judgemental when others offer different opinions than their own. They show respect ofr others and are usuallyfree of religious or racial prejudice. They are not likely to complain or criticize others.

The third "excellent" score was in the measurement of "dominant" versus "submissive." A dominant type personality is a person that is confident, assertive and a person who has good ego strength and good self-esteem. They are likely to be self-starters and leaders among their peers and co-workers. They may enjoy public speaking and may enjoy the challenge of debate. They display confidence, and independence and are not likely to be overly influenced by the beliefs of others.

The fourth "excellent" score was in the measurements of "sympathetic" versus "indifferent." A sympathetic person is defined by these measurements as someone that is understanding and compassionate, sensitive and cares deeply about the welfare of others. They may be very likely to be incredibly thoughtful individuals who show kindness to those less fortunate than themselves.

The fifth "excellent" score was in the measurement of "expressive=responsive" versus "indifferent." an expressive-responsive person is an affectionate and demonstrative individual who shows warmth to others. This donor scored off the charts int his measurement! This indicates his ability to be expressive without embarrassment or discomfort. He may be able to be very tender to close family members and his friends and able to share his life's joys and sorrows with those h is close to. He may have strong desire to please others with this high score.

KID PAGE

1. In general, please describe your childhood.

We never moved. i have pleasant memories of my childhood.

2. Were there any family members other than your parents and siblings with whom you regularly had contact?

3. As a child, what was/were your favorite: (Please include a reason, or why, if you can.)

Food(s)?

Color(s)?

Toy(s)?

Indoor game(s)? Video games

Outdoor game(s)?

Book(s)? Mysteries, legal thrillers

Sport(s)? Soccer, basketball

Other activity(s)?  Reading

4. What is your earliest memory?

5. What did you do during the summers?

Summer camp. Soccer tournaments.

6. Are there any "new" technologies you remember becoming available during your childhood which now are commonplace in our society, or which have now been replaced by a newer technology?

7. Did you enjoy school as a child? Do you have any memories of teachers that influenced you, or that you especially liked (or disliked)?

8. Did you have chores or tasks that you were regularly expected to do?

9. Any other recollections of importance that come to mind?