Physical
|
Height:
5'11"
(180 cm) |
Weight:
193 lb
(87 kg) |
Eye Color:
Blue
|
Hair:
Auburn/
Straight |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
|
Blood Type:
A+
|
Ethnic Background:
German/English-German
|
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|
Education:
BBA/Economics
|
Occupation:
Part-time recruiter
|
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Interests:
|
Fishing, Food, Sporting Events, Traveling
|
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Medical
| Question | Response |
| Have you or any of your family members been diagnosed with alcoholism or drug addiction? If yes, relation and age affected: | No |
| Any dietary restrictions? If yes, explain: | No |
| Do you wear glasses or contact lenses? Are you near or far-sighted? | Yes - Near-sighted |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - Tree nuts: Hives, dry mouth and throat |
| CMV IgG Antibody | Positive |
| CMV IgM Antibody | Negative |
| Note any comments regarding above items: | N/A |
Family Medical HistorySee list of questions asked here
Your Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Healthy | 50 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 22 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 77 | |
| Health Problem | Parkinson's, treats with medication | 75 |
| Living / Dead | Living |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 73 | |
| Health Problem | Hay fever and seasonal allergies, since childhood, treats with over the counter medication | 1 |
| Migraines, infrequently, since her early 70s, treats with over the counter medication | 70 | |
| Osteoarthritis, since her early 70s, treatment (if any) unknown | 70 | |
| Living / Dead | Living |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 44 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 53 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 87 | |
| Health Problem | Colon cancer, no treatment received | 87 |
| Cause of death: Colon cancer | 87 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 45 | |
| Health Problem | Lung cancer (was a heavy smoker), treatment unknown | 45 |
| Cause of death: Lung cancer | 45 | |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 60 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 51 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Non-denominational |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: February 2014, August 2014, May 2015. |
| Updates - Medical | No change to donor Medical Profile: February 2014, August 2014, May 2015. |
| Updates - Family Medical History | No change to donor Family Medical History: February 2014. Update received August 2014: Maternal grandmother has been diagnosed at age 77 with dementia. No change to donor Family Medical History: May 2015. |

Physical
Medical
Family Medical History
Religion
Updates to Profile