Physical
Height:
5'11"
(180 cm) |
Weight:
176 lb
(79 kg) |
Eye Color:
Green
|
Hair:
Blond/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
Blood Type:
B+
|
Ethnic Background:
English-Scottish/German
|
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Education:
BS/Physics and Mathematics
|
Occupation:
Software
|
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Interests:
|
Drawing, Photography
|
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 - I choose to eat nothing greasy or fried |
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 - Nickel: causes mild skin irritation |
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 | Comment/Age Affected |
Current age or age at death | 64 | |
Health Problem | Healthy | |
Miscarriage | 35 | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Diabetes Type II | 62 |
Heart attack | 62 | |
Cause of death: Fluid retention in the lungs | 63 | |
Living / Dead | Dead |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 41 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 26 | |
Health Problem | Cat allergies | 6 |
Asthma (childhood) | 8 | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 79 | |
Health Problem | Cause of death: Sepsis | 79 |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 84 | |
Health Problem | Multiple Sclerosis | 65 |
Cause of Death: Pneumonia | 84 | |
Living / Dead | Dead |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 60 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 85 | |
Health Problem | Healthy | |
Cause of death: Heart failure | 85 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 83 | |
Health Problem | Ovarian cancer | 73 |
Cause of death: Ovarian cancer | 83 | |
Living / Dead | Dead |
Religion:
Faith | Other |
Denomination | Buddhist |
Updates to Profile
Update Available | N/A |
Updates - Personal | N/A |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |