Physical
Height:
6'0"
(182 cm) |
Weight:
164 lb
(74 kg) |
Eye Color:
Green
|
Hair:
Brown/
Straight |
Skin Tone:
Light
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
Norwegian-Scandinavian/English-Swedish
|
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Education:
BS/Computer Science
|
Occupation:
Customer Blockchain Engineer
|
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Interests:
|
Board games, Computer Programming, Filmography, Horticulture, Knitting, Running, Sewing
|
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, -3:-1.25/-3.5:-1.75 |
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 |
Current age or age at death | 53 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Osteoarthritis
40
Medication
Your Father
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
Disease
Age Diagnosed
Treatment For Condition
Diabetes mellitus not requiring insulin therapy
52
Diet controlled
Brothers
Your Brother 1
Question | Response |
Current age or age at death | 22 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Sisters
Your Sister 1
Question | Response |
Current age or age at death | 19 |
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 | 83 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Mother
Question | Response |
Current age or age at death | 89 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Any other sight/sound/smell disorder
89
Cochlear implant for age-related hearing loss
Your Mother's Sisters 1
Question | Response |
Current age or age at death | 46 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Eczema
39
Topical cream as needed
Your Father's Father
Question | Response |
Current age or age at death | 57 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Lung cancer from gulf war burn pits |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Lung cancer
56
None, advanced diagnoses
Your Father's Mother
Question | Response |
Current age or age at death | 89 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Alzheimer's |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Alzheimer's
87
Medication and home care
Your Father's Brothers 1
Question | Response |
Current age or age at death | 59 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Brothers 2
Question | Response |
Current age or age at death | 58 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Brothers 3
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's Brothers 4
Question | Response |
Current age or age at death | 56 |
Living / Dead | Living |
Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Father's Brothers 5
Question | Response |
Current age or age at death | 37 |
Living / Dead | Dead |
Cause of death and any treatment prior to death | Lung Cancer (burn pit exposure) |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Lung cancer
27
Chemotherapy
Religion:
Faith | None |
Denomination | N/A |
Updates to Profile
Update Available | N/A |
Updates - Personal | N/A |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |