Physical

Height:
5'8"
(172 cm)
Weight:
180 lb
(81 kg)
Eye Color:
Brown
Hair:
Brown/
Wavy
Skin Tone:
Medium Light
Ancestry:
Caucasian
Blood Type:
O+
Ethnic Background:
Czech-English/English-Irish-Italian
Education:
BBA/Hum. Res. Mgmt., Int. Bus.
Occupation:
Information Technology
Interests:
Camping, Movies, Music, Sports, Travel, Writing

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

Your Mother
Question Response Comment/Age Affected
Current age or age at death 52
Health Problem Hypertension, treats with exercise and diet45
Living / DeadLiving
Your Father
Question Response Comment/Age Affected
Current age or age at death 53
Health Problem Healthy 
Living / DeadLiving
Brothers
Your Brother 1
Question Response Comment/Age Affected
Current age or age at death 21
Health Problem Healthy 
Living / DeadLiving
Your Mother's Father
Question Response Comment/Age Affected
Current age or age at death 75
Health Problem Heart attack, fatal, no treatment75
Cause of death: Heart attack75
Living / DeadDead
Your Mother's Mother
Question Response Comment/Age Affected
Current age or age at death 60
Health Problem Pneumonia, treated with medication, hospitalization60
Cause of death: Pneumonia60
Living / DeadDead
Your Mother's Brothers 1
Question Response Comment/Age Affected
Current age or age at death 47
Health Problem Healthy 
Living / DeadLiving
Your Father's Father
Question Response Comment/Age Affected
Current age or age at death 85
Health Problem Healthy 
Living / DeadLiving
Your Father's Mother
Question Response Comment/Age Affected
Current age or age at death 80
Health Problem Healthy 
Living / DeadLiving
Your Father's Sisters 1
Question Response Comment/Age Affected
Current age or age at death 51
Health Problem Healthy 
Living / DeadLiving
Your Father's Sisters 2
Question Response Comment/Age Affected
Current age or age at death 45
Health Problem Healthy 
Living / DeadLiving
Your Father's Brothers 1
Question Response Comment/Age Affected
Current age or age at death 60
Health Problem Healthy 
Living / DeadLiving
Your Father's Brothers 2
Question Response Comment/Age Affected
Current age or age at death 56
Health Problem Healthy 
Living / DeadLiving
Your Father's Brothers 3
Question Response Comment/Age Affected
Current age or age at death 48
Health Problem Healthy 
Living / DeadLiving

Religion:

Faith None
Denomination N/A

Updates to Profile

Update AvailableYes
Updates - PersonalNo change to donor Personal Profile: July 2014, September 2018, June 2019. Update received May 2023: Occupation has changed to Healthcare.
Updates - MedicalNo change to donor Medical Profile: July 2014, September 2018, June 2019, May 2023.
Updates - Family Medical HistoryNo change to donor Family Medical History: July 2014, September 2018, June 2019. Update January 2021: Donor has an offspring reported with Hirschsprung Disease. Another child is reported diagnosed wtih autism. Update received May 2023: Donor has two sons, age 5 and 2; Paternal Grandfather has died from pneumonia, age unreported; Paternal Grandmother has died at age 88, specific cause of death unreported.