Blood type and Rh factor;I+
Are you adopted?;No
How many siblings do you have;One
Contraception;Condoms
Do you regularly consult a gynecologist;Yes
Do you have/have you ever had gynecological illnesses/surgeries?;No
Do you wear hearing aids? Do you have any problems with your hearing;No
Do you wear contact lenses/glasses? Do you have vision problems?;No
Your eyesight (diopters, e.g. minus 1.5);100%
Have you had vision correction by eye surgery? For what problems (myopia, hyperopia, astigmatism);No
Please state the condition of your teeth;Good
Have you ever had braces on your teeth?;No
Do you smoke?;No
How much alcohol do you consume per week, per month?; On holidays
Describe your diet type; No
Allergies; No
Do you workout regularly?;No
Do you take any illegal drugs?;No
Have you ever had a blood transfusion?;No
Have you been hospitalized for a mental disorder?;No
Have you ever had twins in your family?;No
Have you ever had a stillbirth, miscarriage, or abortion?;No
Do you have any medical contraindications?;No
Do you suffer from any chronic diseases?;No
Are you taking any medications (prescribed or self-prescribed)?;No
Have you had any surgeries/hospitalizations?;No
History of STIs (HIV, syphilis, gonorrhea, chlamydia, herpes, viral hepatitis B or, CMV) provide dates and treatment, if any;No
Do you have the following infections: chlamydia, gonorrhea, trichomoniasis, genital herpes;No