Physical
|
Height:
6'0"
(182 cm) |
Weight:
187 lb
(84 kg) |
Eye Color:
Brown
|
Hair:
Black/
Wavy |
Skin Tone:
Medium Dark
|
Ancestry:
Multi
|
|
Blood Type:
O+
|
Ethnic Background:
Indian-Venezuelan/English
|
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|
Education:
BA/Global Studies, Sociology
|
Occupation:
Student
|
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Interests:
|
Adventure touring, Motorcycles
|
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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: | No |
| 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 | 51 | |
| Health Problem | Precancerous cervical cells removed with surgery | 37 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 34 | |
| Health Problem | Severe trauma due to car accident, no treatment | 34 |
| Cause of death: Severe trauma | 34 | |
| Living / Dead | Dead |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 15 | Maternal half brother |
| Health Problem | Healthy | |
| Living / Dead | Living |
Sisters
Your Sister 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 13 | Maternal half sister |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 82 | |
| Health Problem | High blood pressure, controlled with medication | 60 |
| Diabetes mellitus requiring insulin therapy | 62 | |
| Heart attack, treated with surgery | 66 | |
| Kidney failure, no treatment | 82 | |
| Cause of death: Kidney failure | 82 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 81 | |
| Health Problem | Heart attack, treated with surgery | 64 |
| Living / Dead | Living |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | |
| Health Problem | High blood pressure, controlled with medication | 29 |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 61 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 48 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 44 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 74 | |
| Health Problem | Heart attack, no treatment | 74 |
| Cause of death: Heart attack | 74 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 70 | |
| Health Problem | Lung cancer, attempted treatment with chemotherapy | 70 |
| Cause of death: Lung cancer | 70 | |
| Living / Dead | Dead |
Your Father's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 53 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Updates to Profile
| Update Available | N/A |
| Updates - Personal | N/A |
| Updates - Medical | N/A |
| Updates - Family Medical History | N/A |

Physical
Medical
Family Medical History
Religion
Updates to Profile