Personal Behavior History
Donor Sexual History
Donor Genetic History
Donor Medical History
Family Medical HistoryThis donor is a healthy carrier for a genetic disease.
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details
Updated medical information on the donor and his family (if applicable) will be included at the bottom of the Summary Profile
Personal Behavior History
| Question | Response |
| Current alcohol use: If yes, oz./week and type of alcohol: | Rarely - One cocktail on rare occasions |
| 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? | Yes |
| 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 Extraction; Tonsillectomy - Age 12; Age 14 both routine procedures |
| Hospitalization other than surgery: Age & type of illness: | Baseball injury - Age 8, broken arm |
| Have you ever had any broken bones? If yes, please give age and description: | Yes - Age 8, left arm, playing baseball (hit by pitch) |
| 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: | Creatine, Multivitamin - Daily; 8 months, 2 years; Fitness and wellness |
| List all current medication or treatments (include vitamins, aspirin, antacids, laxatives, herbal, sports supplements, etc.) Include drug, frequency and duration taken, and reason: | Creatine, Multivitamin, Vitamin D, Vitamin B12 - Daily (Vitamin D weekly); 8 months, 2 years, 3 months, 3 months; Fitness and wellness |
| Do you wear glasses or contact lenses? Are you near or far-sighted? | Yes - Near-sighted, R: -1.50 cyl -1.75 axis 073 L: -1.25 cyl -1.25 axis 098 |
| Birth weight lbs | 8 |
| Birth weight ozs | 3 |
| Recent weight loss or gain? # of lbs and reason: | Yes - 20 lbs. loss, working out again |
| Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - Penicillin and sulfa drugs, cause rash and vomiting |
| How many sexual partners do you currently have? | 0 |
| Have you ever had a tattoo? | Yes - 5: neck, right calf, left calf, foot, chest |
| Have you ever had your ear(s) or body pierced? | Yes - 6: nose, lower lip, left ear x3, navel |
Family Medical HistorySee list of questions asked here
| Mother's Father Ethnic Origins | Norwegian |
| Mother's Mother Ethnic Origins | Norwegian |
| Father's Father Ethnic Origins | Swedish |
| Father's Mother Ethnic Origin | Swedish |
| 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 | 67 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Alzheimer's |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Alzheimer's
65
Care facility
Your Father
| Question | Response |
| Current age or age at death | 68 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Brothers
Your Brother 1
| Question | Response |
| Current age or age at death | 49 |
| 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 | 60 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Heart Attack |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
No other diagnosed health problems at time of death
Your Mother's Mother
| Question | Response |
| Current age or age at death | 90 |
| Living / Dead | Dead |
| Cause of death and any treatment prior to death | Lung and Bone Cancer, hospice |
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Breast cancer
70
Chemotherapy and radiation
Your Mother's Sisters 1
| Question | Response |
| Current age or age at death | 65 |
| 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 | 58 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy
Your Mother's Brothers 2
| 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
Healthy
Your Father's Father
| 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
Healthy
Your Father's Mother
| Question | Response |
| Current age or age at death | 86 |
| Living / Dead | Living |
| Cause of death and any treatment prior to death | N/A |
Health Problems
Healthy