Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
5'7"
(170 cm) |
Weight:
140 lb
(63 kg) |
Eye Color:
Green
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Hair:
Blond/
Straight |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
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Blood Type:
O+
|
Ethnic Background:
German-Irish-Scottish/German
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Education:
JD/Law
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Occupation:
Attorney
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Interests:
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Coaching, Cooking, Running
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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 - (Near-sighted before laser surgery) |
| 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 | 60 | |
| Health Problem | High blood pressure, treated with diet, lifestyle changes and medication | 40 |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 64 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 59 | |
| Health Problem | Heart failure (smoker) | 59 |
| Cause of death: Heart failure | 59 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 91 | |
| Health Problem | High blood pressure, treated with diet, lifestyle changes and medication | 60 |
| Osteoarthritis, treated with injections | 80 | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 74 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 49 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 75 | |
| Health Problem | Heart failure | 75 |
| Cause of death: Heart failure | 75 | |
| Living / Dead | Dead |
Your Father's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 95 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Methodist |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: December 2013, June 2015, June 2016, June 2018, May 2019, February 2020, February 2021, January 2022. |
| Updates - Medical | No change to donor Medical Profile: December 2013, June 2015, June 2016, June 2018, May 2019, February 2020, Februrary 2021, January 2022. |
| Updates - Family Medical History | No change to donor Family Medical History: December 2013, June 2015. Update received June 2016: Maternal grandmother has died of heart failure at age 92; Donor reports the birth of a healthy daughter. No change to donor Family Medical History: June 2018, May 2019, February 2020, February 2021, January 2022. |