Physical

Height:
6'0"
(182 cm)
Weight:
189 lb
(85 kg)
Eye Color:
Brown
Hair:
Brown/
Wavy
Skin Tone:
Medium
Ancestry:
Caucasian
Blood Type:
O+
Ethnic Background:
German (Jewish)-Italian/Eastern European (Jewish)
Education:
BA/Advertising
Occupation:
Student
Interests:
Working out

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 40
Living / DeadDead
Cause of death and any treatment prior to deathUnknown
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Fell ill one week before death, possible viral infection
40
N/A
Question Response
Current age or age at death 50
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 22
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 60
Living / DeadDead
Cause of death and any treatment prior to deathLung cancer
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Lung cancer (smoker)
58
Chemotherapy
Question Response
Current age or age at death 70
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 58
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 70
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Leukemia
68
Chemotherapy
Question Response
Current age or age at death 68
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Amyotrophic Lateral Sclerosis (ALS)
65
At home palliative care
Question Response
Current age or age at death 48
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy

Religion:

Faith None
Denomination I'm half Jewish, half Catholic, but I am not religious

Updates to Profile

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