Physical
Height:
6'0"
(182 cm) |
Weight:
175 lb
(79 kg) |
Eye Color:
Hazel
|
Hair:
Brown/
Straight |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
Blood Type:
A-
|
Ethnic Background:
German-Irish/Native American-German
|
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Education:
DC/Chiropractic Medicine
|
Occupation:
Student
|
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Interests:
|
Cooking, Farming, Hiking, Jogging, Reading, Swimming, Weight training
|
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: | No |
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 | 48 | |
Health Problem | High blood pressure, formerly treated with medication, now treated with diet | 46 |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 28 | |
Health Problem | Pneumonia (treated with antibiotics) | 26 |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 66 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Drug addiction (Painkillers and anti-depressants) | 27 |
Cause of death: Drug overdose | 50 | |
Living / Dead | Dead |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 42 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 45 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 41 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 3
Question | Response | Comment/Age Affected |
Current age or age at death | 39 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 74 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 73 | |
Health Problem | Breast cancer, treated with holistic care and medication | 69 |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 29 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 48 | |
Health Problem | Testicular cancer (treated with surgery) | 30 |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Protestant |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: June 2014, July 2016. |
Updates - Medical | No change to donor Medical Profile: June 2014, July 2016. |
Updates - Family Medical History | No change to donor Family Medical History: June 2014. Update received July 2016: Maternal grandfather has died of a heart attack. |