| Basic Information | |
Marital Status: | Single | Religion: | Other | Languages: | English, Zulu | Referred by: | Referred by a friend |
|
|
| | Lifestyle | |
Exercise: | Once a week | Daily diet: | Keep it healthy | Smoking: | No | Drinking: | Never | Living situation: | Live with familiy member(s) | Kids: | I'll tell you later | Want children: | I'll tell you later |
|
|
|