This donor is a healthy carrier for a genetic disease.
Please see his Genetic Testing Summary and Acknowledgment of Genetic Risk for details

Personal Behavior History

Question Response
Current alcohol use:
If yes, oz./week and type of alcohol:
Rarely - 1 oz. of liquor
Tobacco use: Do you smoke?
If yes, #/day and for how long:
No
If you did smoke but quit, when did you last smoke?N/A
For how many years?N/A
Do you sleep well?Yes
Do you exercise on regular basis?Yes
Is your diet well balanced?
If no, explain:
Yes
Are you a vegetarian?No
Any dietary restrictions?
If yes, explain:
No

Sexual History

Question Response
A partner whose sexual background you are unsure of in the past 12 months?No

Donor Genetic History

Question Response
Do you have a history of a speech disorder; such as a speech impediment, stuttering, delayed speech development, etc.?
If yes, explain:
No
Do you have learning differences, such as dyslexia?
If yes, explain:
No
Were you or any family members born with any birth defects?
If yes, explain:
No

Donor Medical History

Question Response
List any operations:
Age & reason:
N/A - none
Hospitalization other than surgery:
Age & type of illness:
N/A - none
Have you ever had any broken bones?
If yes, please give age and description:
No
Have you ever had any serious illnesses?
If yes, please give age and description:
No
Are you presently under a physician's care for any reason?
If yes, please describe:
No
List all drugs you have taken in past 12 months (prescription, nonprescription, herbal, and sports supplements, and recreational). Include drug, frequency and duration taken, and reason:Whey Protein Isolate - Daily; 5 months; Muscle recovery
List all current medication or treatments (include vitamins, aspirin, antacids, laxatives, herbal, sports supplements, etc.) Include drug, frequency and duration taken, and reason:Whey Protein Isolate - Daily; 5 months; Muscle recovery
Do you wear glasses or contact lenses?
Are you near or far-sighted?
No
Birth weight lbs8
Birth weight ozs2
Recent weight loss or gain?
# of lbs and reason:
No
Allergies (medicines, food, pollens)?
If yes, please list substance and reaction caused:
No
How many sexual partners do you currently have?0
Have you ever had a tattoo?Yes
Tattoo#1 Year2017
Tatroo#1 LocationLeft arm
Question Response
Have you ever had your ear(s) or body pierced?No

Family Medical History
See list of questions asked here

Mother's Father Ethnic OriginsItalian
Mother's Mother Ethnic OriginsBolivian
Father's Father Ethnic OriginsSpanish
Father's Mother Ethnic OriginBolivian
Is anyone in your family of Ashkenazai Jewish Heritage?No
If yes, who?N/A
Question Response
Current age or age at death 48
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
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 32
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 80
Living / DeadDead
Cause of death and any treatment prior to deathCardiac Arrest
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack
80
No treatment, fatal
Question Response
Current age or age at death 70
Living / DeadDead
Cause of death and any treatment prior to deathLow blood sugar
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Diabetes mellitus not requiring insulin therapy
50
Metformin
Question Response
Current age or age at death 80
Living / DeadDead
Cause of death and any treatment prior to deathCardiac Arrest
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Heart attack
80
No treatment, fatal
Question Response
Current age or age at death 78
Living / DeadDead
Cause of death and any treatment prior to deathCardiac/Respiratory Failure
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other heart disease
70
Surgery/Meds
Question Response
Current age or age at death 50
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Rheumatoid Arthritis
45
Medication