Physical
Height:
182 cm
(6'0") |
Weight:
97 kg
(215 lb) |
Eye Color:
Hazel
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium Dark
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
Italian/Polish
|
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Education:
MA/Educational Administration
|
Occupation:
Teacher
|
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Interests:
|
Coaching, Exercise
|
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 Antibody | Positive |
CMV IgM Antibody | Negative |
Note any comments regarding above items: | N/A |
Family Medical HistorySee list of questions asked here
Your Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 51 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 53 | |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 20 | |
Health Problem | Hypothyroidism, treated with T4 supplement(Levothroid) | 14 |
Living / Dead | Living |
Your Sister 2
Question | Response | Comment/Age Affected |
Current age or age at death | 19 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Sister 3
Question | Response | Comment/Age Affected |
Current age or age at death | 13 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 74 | |
Health Problem | High blood pressure; treated with medication | 50 |
Ulcer | 55 | |
Stroke | 66 | |
Alzheimer's Disease | 73 | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 73 | |
Health Problem | Hypothyroidism, very mild case, no medication required. | 65 |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 48 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 74 | |
Health Problem | High blood pressure, treated through diet and exercise | 50 |
Seizures, no occurrences for 10+ years | 62 | |
Diabetes, treated with insulin | 65 | |
Living / Dead | Living |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 73 | |
Health Problem | Hyperthyroidism, very mild case, no medication required. | 45 |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 48 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 46 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Roman Catholic |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: June 2008. |
Updates - Medical | No change to donor Medical Profile: June 2008. |
Updates - Family Medical History | No change to donor Family Medical History: June 2008. |