Surrogate #: SU 6000

This profile is a compilation obtained from an 19-page application that has been completed by the fertility helper.

PERSONAL INFORMATION

Date of Birth: 7/13/1981

Race: caucasian                                     Ethnic History: Irish, German

Hair Color: blonde                                  Hair Type:  wavy

Eye Color: blue                                       Weight (lbs): 125 lbs

Blood Type: O+                                     Complexion:

Height: 5'5''                                            Illegal Drug Use: never

Religion: Catholic                                   Criminal Record: no

Smoker: no                                             How Often: n/a                                   

Alcohol Consumption: yes                  How Often: 2-3 times per month

PREGNANCIES

 

Number of Pregnancies: 1
Number of Children: 1                              
Number of Abortions: 0        Year:
Number of Micarriages: 0     Year:      

 

Name	Birthday
Matthew	11/28/06

 

INFORMATION ABOUT PREGNANCIES

	Pregnancy #1	Pregnancy #2	Pregnancy #3	Pregnancy #4
Full Term	Yes
Birth Weight	7 lbs 8oz
Abortion	2 Months
Miscarriage	N/A
Cesarean Birth	No
Complications	No

Present Method Of Birth Control: Birth Control Pill

EDUCATIONAL /VOCATIONAL HISTORY

Education: She has a Bachelor's Degree in Earth Science and Environmental Studies and a Master's Degree in Environmental Science.

Plans for Additional Education:  She is currently working on a PH.D. in Geophysics.

Hobbies and Special Interests: She enjoys singing, cooking, sports, helping the community, reading, symphonies, and art showings.

Employment History: She is currently a Graduate Teaching Assistant.

MEDICAL HISTORY

Vision: good                                              Hearing: good

Sexually Transmitted Diseases: none

Previous Hospitalizations/Surgery:  1999 - tonsillectomy                                              

Previous Psychiatric History: none

Allergies: penicillin

Exercise Program: regular

Diet: Healthy diet, eats a lot of vegetables and lean meats, 6 glasses of water a day

Type of Exercise: She does Yoga 3-4 times a week, climbs at the gym 5 days a week for about a half hour. Lifts weights 1 or 2 days a week, and also tries to climb outdoors one day on the weekend. She runs with her dog for a half hour 3-5 times a week and rides her bike to work (3.5 miles one way).


PERSONAL MESSAGE FROM THE FERTILITY HELPER

 

Why do you want to help the prospective parent(s)?

I believe that children are blessings from God, but I also understand the frustration and heartache of wanting a child and not being able to conceive. I had several friends and family experiencing that frustration. I want to be able to help others experience the joy and excitement of pregnancy/childbirth; to finally have that little one who will love you unconditionally.

 

In your own words, describe your personality and character:

I am a very ambitious and hard working person. I have certain goals in life and work hard each day towards accomplishing those goals, taking small steps along the way. I feel as though I am able to communicate and be friends with people of all backgrounds and am comfortable in most social situations.

If you could pass a message to the prospective parent(s), what would that message be?

There is no greater love than that of a parent and a child, and no greater gift than that of a child. It is my desire that you experience all the joy a child can bring to your life, and my wish to be able to help in your dreams of having a family.