Physical
Height:
6'3"
(190 cm) |
Weight:
167 lb
(75 kg) |
Eye Color:
Blue
|
Hair:
Blond/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
Irish/English-German
|
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Education:
BA/Business, Government minor
|
Occupation:
Student
|
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Interests:
|
Basketball, Hiking, Keyboards, Salsa dancing, Soccer, Student politics, Surfing
|
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 Antibody | Positive |
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 | 49 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 16 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 81 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 76 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 66 | |
Health Problem | Heart attack (fatal), no treatment | 66 |
Cause of death: Heart attack | 66 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 47 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Catholic |
Updates to Profile
Update Available | N/A |
Updates - Personal | N/A |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |