Oregon Health & Science University                                         PROFILE FOR SPERM DONOR  #9895

Andrology/Embryology Lab

3303 S.W. Bond Ave., 10^th floor

Portland, OR 97239

Phone:  (503) 418-3700

 

PHYSICAL CHARACTERISTICS

 

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.

 

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 (age 59), mother (57), PGM (89), MGM (85), 1 P uncle (47), 2 P aunts (52, 61), 2 M uncles (54, 60), and 2 sisters (17, 19) are all living and in very good health.  The PGF died at age 67 of a heart attack, and the MGF died at age 60 of colon cancer.

Donor’s dental history:  very straight teeth, never needed orthodontics.

 

 

 

OCCUPATION:   Financial advisor

 

RELIGION:  None

 

Social History:

                                                                                         

1. Do you have any special talents?

Love to tell stories.

Athletics.

Good judge of character.

 

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

Artistic (this talent skipped me).

Public speaking.

Entrepreneurial/business ability.

 

3. What are your interests and hobbies?

Camping (usually a couple times a year at least).

Rafting.

Fishing.

Wine-tasting.

Water sports (on water polo team in high school).

Exercise.

 

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

 

5. High School GPA  3.8                     College GPA  3.5                                I.Q.  142

 

6. How would you describe your personality characteristics?

Funny, bold, thoughtful, quick-witted, outgoing, caring, excitable.

 

Additional Descriptive Characteristics:

 

Handedness:  Right.                                                      Foot/Shoe Size:  11.5

 

Hairy Chest:  A little.               Hairy:  No.                       Beard Color:

 

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

Cleft chin.

 

Acne problems:

No.

 

Reactivity/Sensitivity to sun exposure:

No.

 

Family Social History:

 

	Education	Occupation	Interests	Eye color	Hair color	Height	Body Type
PGF	High school	Surveyor	Fishing, boating
PGM	Bachelor	Teacher	Travel		White	5’4”	Thin
MGF	Bachelor	Army, entrepreneur		Blue	Grey	5’11”	Thin, fit
MGM		None	Animals, cooking, gardening		Grey	5’7”	Thin
Father	Masters	Project management	Travel, fishing, camping	Blue	Grey	5’11”	Average build
Mother	Bachelor	None	Travel	Blue	Blond	5’9”	Thin, fit
Sister	Working on bachelor		Art	Hazel	Strawberry blond	5’10”	Thin, fit
Sister	Working on bachelor		Ballet, apparel design	Blue	Blond	5’8”	Thin, fit
Aunt	Masters	Nurse		Blue	Brown		Average build

 

1. In general, please describe your childhood.

I had a great childhood.  I lived with my parents in Indonesia (Borneo) for the first two years of my life.  Moved two times when we got back to the states (each move was a necessary change to accommodate the addition of another sibling).  I have two younger sisters with whom I get along with very well.  That’s not to say that our relationship was without sibling rivalry in our youth.

 

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

I would regularly see many family members.  I’ll tell a story that is still brought up at family reunions.  I would

spend a lot of time with my maternal grandmother.  I also saw my maternal uncles and cousins on a frequent

basis; however, until I was five, I had never been to a family event when both my grandmother and my uncles

were present.  My grandmother took me fishing when I was five, and while we were waiting at the docks for

one more person to arrive, I spotted my uncle (my grandmother’s son).  This was a strange coincidence, and I

waved.  When he came over, I was shocked that he hugged my grandmother, and I said, “You two know each

other?”  I was even more confused when they both started laughing.

 

3. As a child, what was/were your favorite:

Food(s)?        Macaroni and cheese.

Color(s)?        Green.

Toy(s)?           Big Wheels.

Indoor game(s)?        Monopoly.                                Played it with my best friend.  

Outdoor game(s)?     Capture the Flag.

Book(s)?        The Polar Express.                              Always comforted me before bed.

Sport(s)?        Soccer.

Other activity(s)?       Water polo in high school.

 

4. What is your earliest memory?

Going to see my dad at his office in Borneo.

 

5. What did you do during the summers?

Usually went to athletic camps for several weeks.  I had several volunteer jobs also.  One summer I worked on a farm for three months…never again.

 

6. Are there any Anew@ 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?

The budding technology when I was a child was computers.

 

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)?

I loved school as a child.  I always preferred science and math classes.  My fourth grade teacher was the best teacher I’ve ever had, and arguably the best teacher in the world.  She’s one of those people that are so motivating because they truly want to see one excel.

 

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

The standard chores: cleaning my room and parts of the house, garbage and recycling, walking the dog, helping with the dishes, etc.

 

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