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:
Frequently - 32 oz./week beer
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:
Wisdom teeth extraction, Appendectomy, Cyst removal - 18 routine procedure; 20, appendicitis; 20, cyst on hand required surgery for removal
Hospitalization other than surgery:
Age & type of illness:
N/A - N/A
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:None - N/A; N/A; N/A
List all current medication or treatments (include vitamins, aspirin, antacids, laxatives, herbal, sports supplements, etc.) Include drug, frequency and duration taken, and reason:None - N/A; N/A; N/A
Do you wear glasses or contact lenses?
Are you near or far-sighted?
Yes - Near-sighted, 20/200
Birth weight lbs6
Birth weight ozs15
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?1
Have you ever had a tattoo?No
Have you ever had your ear(s) or body pierced?No

Family Medical History
See list of questions asked here

Mother's Father Ethnic OriginsEnglish
Mother's Mother Ethnic OriginsEnglish
Father's Father Ethnic OriginsEnglish
Father's Mother Ethnic OriginEnglish
Is anyone in your family of Ashkenazai Jewish Heritage?No
If yes, who?N/A
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 70
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Disease
Age Diagnosed
Treatment For Condition
High blood pressure
70
Medication
High cholesterol
65
Medication
Anxiety
65
Medication
Obesity
65
None, correlates with anxiety
Other
 
COVID-19 at 70 lead to heart palpitations
Question Response
Current age or age at death 40
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 38
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy
Question Response
Current age or age at death 79
Living / DeadDead
Cause of death and any treatment prior to deathRespiratory failure, was in facility
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
 
Developed non-hereditary muscular dystrophy after catching a virus while travelling in the Caribbean, treated with physical therapy and cortisone shots
Question Response
Current age or age at death 72
Living / DeadDead
Cause of death and any treatment prior to deathDementia, None
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Dementia or degenerative disorders
70
None
Question Response
Current age or age at death 67
Living / DeadDead
Cause of death and any treatment prior to deathLiver cancer, chemotherapy
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Hepatitis B
25
Unknown
Question Response
Current age or age at death 49
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 deathHeart attack, none
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Other
 
No other diagnosed health problems at time of death
Question Response
Current age or age at death 74
Living / DeadDead
Cause of death and any treatment prior to deathAlzheimer's
Health Problems
Disease
Age Diagnosed
Treatment For Condition
Alzheimer's
70
Medication
Question Response
Current age or age at death 77
Living / DeadLiving
Cause of death and any treatment prior to deathN/A
Health Problems
Healthy