Physical

Height:
6'0"
(182 cm)
Weight:
170 lb
(77 kg)
Eye Color:
Green
Hair:
Brown/
Straight
Skin Tone:
Light
Ancestry:
Caucasian
Blood Type:
O+
Ethnic Background:
English-Irish/English-Irish
Education:
MS/Taxation
Occupation:
Acct Devel Representative
Interests:
Basketball, Football, Hockey, Philosphy, Politics, Reading non-fiction

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:
Yes - Cats, itchiness
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 61
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 94
Living / DeadDead
Cause of death and any treatment prior to deathPneumonia, hospitalization
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Pneumonia
94
Hospitalization but was outpatient at time of death
Question Response
Current age or age at death 79
Living / DeadDead
Cause of death and any treatment prior to deathComplications of stroke
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Stroke
79
None
Question Response
Current age or age at death 62
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 / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 59
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 57
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 66
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 84
Living / DeadDead
Cause of death and any treatment prior to deathOrgan failure
Health Problems
Healthy
Question Response
Current age or age at death 72
Living / DeadDead
Cause of death and any treatment prior to deathBreast cancer, opted for no treatment
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Breast cancer
72
Opted for no treatment
Question Response
Current age or age at death 66
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 60
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Obesity
 
Not diagnosed, no treatment
Question Response
Current age or age at death 57
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 64
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 59
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 55
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