Physical
Height:
6'0"
(182 cm) |
Weight:
147 lb
(66 kg) |
Eye Color:
Green
|
Hair:
Brown/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
B-
|
Ethnic Background:
German/German
|
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Education:
MEd/Educational Psychology
|
Occupation:
Student
|
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Interests:
|
Outdoors
|
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? | No |
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | No |
CMV IgG Antibody | Negative |
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 | 57 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 59 | |
Health Problem | Kidney cancer, treated with surgery | 59 |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 33 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 51 | |
Health Problem | Heart attack (smoker), no treatment | 51 |
Cause of death: Heart attack | 51 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 88 | |
Health Problem | Stroke | 88 |
Cause of death: Stroke | 88 | |
Living / Dead | Dead |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 64 | |
Health Problem | Anorexia nervosa, unknown age of diagnosis, treated with hospitalization | |
Cause of death: Complications of Anorexia nervosa | 64 | |
Living / Dead | Dead |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 65 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 54 | |
Health Problem | Lung cancer (smoker and mine worker), treated with radiation therapy | 54 |
Cause of death: Lung cancer | 54 | |
Living / Dead | Dead |
Your Mother's Brothers 4
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 | 60 | |
Health Problem | Heart attack (smoker), no treatment | 60 |
Cause of death: Heart attack | 60 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 68 | |
Health Problem | Healthy | |
Cause of death: Heart failure | 68 | |
Living / Dead | Dead |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 64 | |
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: September 2015, June 2016. Update received May 2022: DOnor has earned an M.Ed. Educational Psychology; Occupation has changed to School Counselor. |
Updates - Medical | No change to donor Medical Profile: September 2015, June 2016, May 2022. |
Updates - Family Medical History | No change to donor Family Medical History: September 2015, June 2016. Update received May 2022: Donor reports the birth of a healthy daughter. |