Physical

Height:
6'0"
(182 cm)
Weight:
155 lb
(70 kg)
Eye Color:
Hazel
Hair:
Black/
Wavy
Skin Tone:
Medium Light
Ancestry:
Caucasian
Blood Type:
B+
Ethnic Background:
Irish-Italian/Polish-German
Education:
EdD Education
Occupation:
Recreation Supervisor
Interests:
Drums, Guitar, Kayaking, Rafting, RockClimbing, Yoga

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
Current age or age at death 63
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 67
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 36
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 32
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 82
Living / DeadDead
Cause of death and any treatment prior to deathFall
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Injury from fall
82
No treatment
Question Response
Current age or age at death 89
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 65
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 65
Living / DeadDead
Cause of death and any treatment prior to deathParkinson's Disease
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Parkinson's Disease
60
None
Question Response
Current age or age at death 89
Living / DeadDead
Cause of death and any treatment prior to deathHeart Attack
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart Disease
89
None
Question Response
Current age or age at death 78
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 63
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 69
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy

Religion:

Faith Other
Denomination Agnostic

Updates to Profile

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