Blood type and Rh factor;lll+
Are you adopted?;No
How many siblings do you have; No
Contraception; COC
You regularly visit a gynecologist; Yes
You have/have had gynecological diseases surgery;Cesarean section
Do you wear hearing aids? Are there any hearing problems?;No
Do you wear contact lenses/glasses? Are there any problems with vision?;No
Your vision (diopters, for example, minus 1.5); -1
Have you had vision correction with eye surgery? For what problems (nearsightedness, farsightedness, astigmatism)?;No
Please rate the health of your teeth;4
Have you ever had braces on your teeth?;No
Do you smoke?;No
How much alcohol do you consume per week, month?;No
Describe your type of diet; Regular fractional nutrition
Allergy; No
Do you exercise regularly?;Not regularly
Do you take any illegal drugs?;No
Have you had a blood transfusion?;No
Have you been hospitalized for mental disorders?;No
Were there twins in your family?;No
Have you had stillbirths, miscarriages, abortions?;
Do you have any medical contraindications?;No
Do you have any chronic diseases?;No
Are you taking any medications (prescribed or on your own);
Have you had any surgeries/hospitalizations?;Cesarean section
History of STDs (HIV, syphilis, gonorrhea, chlamydia, herpes, viral hepatitis B or CMV) specify dates and treatment, if any;No
Do you have such infections: chlamydia, gonorrhea, trichomoniasis, genital herpes?;No