Physical

Height:
6'2"
(187 cm)
Weight:
175 lb
(79 kg)
Eye Color:
Blue
Hair:
Brown/
Straight
Skin Tone:
Light
Ancestry:
Caucasian
Blood Type:
O-
Ethnic Background:
Irish-Italian/Irish-German
Education:
MA/Education
Occupation:
Student
Interests:
Lifting, Running, 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?
No
Allergies (medicines, food, pollens)?
If yes, please list substance and reaction caused:
No
CMV IgG AntibodyNegative
CMV IgM AntibodyNegative
Note any comments regarding above items:N/A

Family Medical History
See list of questions asked here

Question Response Comment/Age Affected
Current age or age at death 47
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 49
Health Problem MCL surgery for a basketball injury49
Esophageal cancer diagnosed, about to begin chemotherapy and radiation49
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 18
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 20
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 16
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 76
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 75
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 50
Health Problem Sporadic left hip pain, hip replacement surgery scheduled50
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 42
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 51
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 47
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 66
Health Problem Quadruple bypass surgery to treat clogged arteries65
Cause of death: Infection from bypass surgery66
Living / DeadDead
Question Response Comment/Age Affected
Current age or age at death 72
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 51
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 45
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 42
Health Problem Healthy 
Living / DeadLiving
Question Response Comment/Age Affected
Current age or age at death 51
Health Problem Healthy 
Living / DeadLiving

Religion:

Faith Christian
Denomination Roman Catholic

Updates to Profile

Update AvailableN/A
Updates - PersonalN/A
Updates - MedicalN/A
Updates - Family Medical HistoryN/A