This donor is a healthy carrier for a genetic disease.
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details

Personal Behavior History

Question Response
Current alcohol use:
If yes, oz./week and type of alcohol:		Never
Tobacco use: Do you smoke?
If yes, #/day and for how long:		No
If you did smoke but quit, when did you last smoke?N/A
For how many years?N/A
Do you sleep well?Yes
Do you exercise on regular basis?Yes
Is your diet well balanced?
If no, explain:		Yes
Are you a vegetarian?No
Any dietary restrictions?
If yes, explain:		No

Sexual History

Have you ever had sex with:
Question Response
A partner whose sexual background you are unsure of in the past 12 months?No

Donor Genetic History

Question Response
Do you have a history of a speech disorder; such as a speech impediment, stuttering, delayed speech development, etc.?
If yes, explain:		No
Do you have learning differences, such as dyslexia?
If yes, explain:		No
Were you or any family members born with any birth defects?
If yes, explain:		No

Donor Medical History

Question Response
List any operations:
Age & reason:		Wisdom Teeth Removal - Age 18
Hospitalization other than surgery:
Age & type of illness:		None - N/A
Have you ever had any broken bones?
If yes, please give age and description:		No
Have you ever had any serious illnesses?
If yes, please give age and description:		No
Are you presently under a physician's care for any reason?
If yes, please describe:		No
List all drugs you have taken in past 12 months (prescription, nonprescription, herbal, and sports supplements, and recreational). Include drug, frequency and duration taken, and reason:Omega 3, Vitamin D, Magnesium Bisglycinate, Glycine, Creatine, Collagen, Vitamin C, Thyroid Support Complex, Boron, NAC, Probiotic, Daily Greens Supplement, Fiber, Multi-Vitamin, Coffee (twice a week), Ashwagandha, P5P - All daily except Zyrtec (As needed); 1-2 years, Zyrtec - 3 years; Personal healthspan/lifespan goals, (fitness and health); Spring pollen allergies
List all current medication or treatments (include vitamins, aspirin, antacids, laxatives, herbal, sports supplements, etc.) Include drug, frequency and duration taken, and reason:Omega 3, Vitamin D, Magnesium Bisglycinate, Glycine, Creatine, Collagen, Vitamin C, Thyroid Support Complex, Boron, NAC, Probiotic, Daily Greens Supplement, Fiber, Multi-Vitamin, Coffee (twice a week), Ashwagandha, P5P, Zyrtec - All daily except Zyrtec. Zyrtec (As needed); 1-2 years, Zyrtec - 3 years; Personal healthspan/lifespan goals, (fitness and health). Spring pollen allergies
Do you wear glasses or contact lenses?
Are you near or far-sighted?		Yes - Near-sighted, R: Spherical -1.75, Cylindrical -2.75, Axis 1.45. L: Spherical -6.25
Birth weight lbs8
Birth weight ozs3
Recent weight loss or gain?
# of lbs and reason:		No
Allergies (medicines, food, pollens)?
If yes, please list substance and reaction caused:		Yes - Pollen, itchy eyes
How many sexual partners do you currently have?1
Have you ever had a tattoo?No
Have you ever had your ear(s) or body pierced?No

Family Medical History
See list of questions asked here

Mother's Father Ethnic OriginsFrench-Canadian-Cuban-Dominican
Mother's Mother Ethnic OriginsFrench-Canadian-Cuban-Dominican
Father's Father Ethnic OriginsDominican-Spanish
Father's Mother Ethnic OriginCuban-Spanish
Is anyone in your family of Ashkenazai Jewish Heritage?No
If yes, who?N/A
Your Mother
Question Response
Current age or age at death 46
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Father
Question Response
Current age or age at death 53
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Brothers
Your Brother 1
Question Response
Current age or age at death 21
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Sisters
Your Sister 1
Question Response
Current age or age at death 17
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Acne
15
Tretinoin
Your Mother's Father
Question Response
Current age or age at death 89
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Stroke
88
Mild stroke, blood thinners
Diabetes mellitus requiring insulin therapy
71
Insulin
Other skin disorders
70
Melanoma, surgical removal
Any cancer not mentioned above
73
Gallbladder Cancer, treated with surgery
Your Mother's Mother
Question Response
Current age or age at death 90
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Mother's Sisters 1
Question Response
Current age or age at death 63
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Father's Father
Question Response
Current age or age at death 77
Living / DeadDead
Cause of death and any treatment prior to deathKidney Cancer, Surgery and Dialysis
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Blood Clots
26
Blood Thinner
Other disease of the kidney, urinary tract, urethra, bladder, ureter
76
Kidney Cancer, Surgery and Dialysis
Your Father's Mother
Question Response
Current age or age at death 75
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Diabetes mellitus not requiring insulin therapy
55
Medication, Dietary Restriction
Your Father's Sisters 1
Question Response
Current age or age at death 37
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Your Father's Brothers 1
Question Response
Current age or age at death 54
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy