Physical

Height:
6'1"
(185 cm)
Weight:
167 lb
(75 kg)
Eye Color:
Blue
Hair:
Brown/
Straight
Skin Tone:
Light
Ancestry:
Caucasian
Blood Type:
A+
Ethnic Background:
Czech/English
Education:
MS/Mechanical Engineering
Occupation:
Military Engineer
Interests:
Hiking, Hunting, Sports

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
Allergies (medicines, food, pollens)?
If yes, please list substance and reaction caused:		Yes - Shellfish: Causes sweating, sniffles
CMV IgG AntibodyNegative
CMV IgM AntibodyNegative
Note any comments regarding above items:N/A

Family Medical History
See list of questions asked here

Your Mother
Question Response Comment/Age Affected
Current age or age at death 61
Health Problem Healthy 
Living / DeadLiving
Your Father
Question Response Comment/Age Affected
Current age or age at death 66
Health Problem Kidney stones45
Asbestos poisoning from work55
Hypertension55
High cholesterol55
Living / DeadLiving
Sisters
Your Sister 1
Question Response Comment/Age Affected
Current age or age at death 36
Health Problem Miscarriage32
Living / DeadLiving
Your Mother's Father
Question Response Comment/Age Affected
Current age or age at death 71
Health Problem Prostate cancer70
Cause of death: Prostate cancer71
Living / DeadDead
Your Mother's Mother
Question Response Comment/Age Affected
Current age or age at death 87
Health Problem Diabetes (mild)65
Breast cancer75
Dementia (mild)75
Living / DeadLiving
Your Father's Father
Question Response Comment/Age Affected
Current age or age at death 50
Health Problem Fatal accident50
Living / DeadDead
Your Father's Mother
Question Response Comment/Age Affected
Current age or age at death 50
Health Problem Fatal accident50
Living / DeadDead
Your Father's Sisters 1
Question Response Comment/Age Affected
Current age or age at death 60
Health Problem Healthy 
Living / DeadLiving
Your Father's Brothers 1
Question Response Comment/Age Affected
Current age or age at death 68
Health Problem Healthy 
Living / DeadLiving

Religion:

Faith Christian
Denomination Episcopalian

Updates to Profile

Update AvailableYes
Updates - PersonalNo change to donor Personal Profile: March 2011, February 2012. Update received March 2013: Donor's occupation has changed from Military Instructor to Energy Manager. No change to donor Personal Profile: October 2014. Update received March 2015: Donor's occupation is now Military Engineer.
Updates - MedicalNo change to donor Medical Profile: March 2011, February 2012, March 2013, October 2014, March 2015.
Updates - Family Medical HistoryNo change to donor Family Medical History: March 2011, February 2012, March 2013. Update received October 2014: Maternal grandmother has died at age 90 of breast cancer and dementia. No change to donor Family Medical History: March 2015.