Physical
Height:
6'0"
(182 cm) |
Weight:
175 lb
(79 kg) |
Eye Color:
Hazel
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
English-Irish/Swedish-Ukrainian
|
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Education:
PhD/Chemistry
|
Occupation:
Business Owner, Scientist
|
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Interests:
|
Camping, Gardening, Hiking, Swimming, Writing
|
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 |
Current age or age at death | 72 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Hypothyroidism
44
Medication
Your Father
Question | Response |
Current age or age at death | 73 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Prostate hyperplasia (benign)
70
Medication
Brothers
Your Brother 1
Question | Response |
Current age or age at death | 34 |
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 | 97 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Heart disease |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart disease
94
None
Your Mother's Mother
Question | Response |
Current age or age at death | 97 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Macular degeneration
85
None
Your Mother's Sisters 1
Question | Response |
Current age or age at death | 64 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Seasonal allergies
16
Medication as needed
High cholesterol
52
Diet
Your Father's Father
Question | Response |
Current age or age at death | 92 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Heart attack |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack
92
None
Your Father's Mother
Question | Response |
Current age or age at death | 96 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Macular degeneration
78
None
Some hearing loss
85
Hearing aid
Religion:
Faith | None |
Denomination | N/A |
Updates to Profile
Update Available | Yes |
Updates - Personal | Update to profile: August 2020. Fairfax Cryobank donor 5937 is now reported to have donated at The Sperm Bank of California as Donor 5395. At the current time 3 families are reported. We will monitor family units together with TSBC. |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |