Physical
|
Height:
5'8"
(172 cm) |
Weight:
147 lb
(66 kg) |
Eye Color:
Brown
|
Hair:
Black/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Asian
|
|
Blood Type:
A+
|
Ethnic Background:
Korean/Korean
|
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|
Education:
BS/Hotel & Restaurant Mgmt
|
Occupation:
Banquet Manager
|
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|
Interests:
|
Dancing, Friends, Movies, Working out
|
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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: | Yes - Buckwheat allergy |
| 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: | Yes - Buckwheat: Causes swollen throat and itchy face |
| 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 |
| Current age or age at death | 57 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father
| Question | Response |
| Current age or age at death | 60 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Father
| Question | Response |
| Current age or age at death | 94 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Alzheimer's |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Alzheimer's
90
Nursing home care
Your Mother's Mother
| Question | Response |
| Current age or age at death | 82 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 50 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Brothers 1
| Question | Response |
| Current age or age at death | 54 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Father
| Question | Response |
| Current age or age at death | 79 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
75
Medication
Your Father's Mother
| Question | Response |
| Current age or age at death | 78 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Low blood pressure
78
Medication
Your Father's Sisters 1
| Question | Response |
| Current age or age at death | 45 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Suicide |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Depression, age of onset unknown
None
Suicide
45
N/A
Your Father's Brothers 1
| Question | Response |
| Current age or age at death | 55 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Religion:
| Faith | Christian |
| Denomination | Catholic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to Personal Profile: August 2019, June 2020, June 2021. Update received May 2022: Occupation has changed to Director of Food and Beverages. Update received May 2023: Occupation has change to Executive Director. |
| Updates - Medical | No change to Medical Profile: August 2019, June 2020, June 2021, May 2022, May 2023. |
| Updates - Family Medical History | No change to Family Medical History: August 2019, June 2020, June 2021, May 2022, May 2023. |

Physical
Medical
Family Medical History
Religion
Updates to Profile