Physical
Height:
180 cm
(5'11") |
Weight:
80 kg
(178 lb) |
Eye Color:
Blue
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
German/German
|
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Education:
BBA/Marketing
|
Occupation:
Student
|
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Interests:
|
Fishing, Golf, Swimming, 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? | Yes - Near-sighted |
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - Pollens: Sneezing |
CMV IgG Antibody | Negative |
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 | 46 | |
Health Problem | Type I Diabetes, treated with insulin | 27 |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 48 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 11 | |
Health Problem | Healthy (Half-brother) | |
Living / Dead | Living |
Your Brother 2
Question | Response | Comment/Age Affected |
Current age or age at death | 10 | |
Health Problem | Healthy (Half-brother) | |
Living / Dead | Living |
Your Brother 3
Question | Response | Comment/Age Affected |
Current age or age at death | 7 | |
Health Problem | Healthy (Half-brother) | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 13 | |
Health Problem | Healthy (Half-sister) | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 72 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 48 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Type 2 Diabetes (he was overweight), treated with medication | 50 |
Heart attack, no treatment received | 62 | |
Cause of death: Heart attack | 62 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 73 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 52 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 51 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | Christian |
Denomination | Methodist |
Updates to Profile
Update Available | Yes |
Updates - Personal | No change to donor Personal Profile: November 2012. |
Updates - Medical | No change to donor Medical Profile: November 2012. |
Updates - Family Medical History | No change to donor Family Medical History: November 2012. |