Physical
Height:
185 cm
(6'1") |
Weight:
76 kg
(168 lb) |
Eye Color:
Blue
|
Hair:
Blond/
Wavy |
Skin Tone:
Medium
|
Ancestry:
Caucasian
|
Blood Type:
O+
|
Ethnic Background:
German/Irish
|
||||
Education:
BS/Psychology
|
Occupation:
Banker
|
||||
Interests:
|
Music
|
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 - Astigmatism |
Allergies (medicines, food, pollens)? If yes, please list substance and reaction caused: | Yes - Grass, Cat dander: Cause stuffy nose |
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 | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father
Question | Response | Comment/Age Affected |
Current age or age at death | 51 | |
Health Problem | Asthma, as a child, treated with an inhaler (no longer affected) | |
Healthy | ||
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 14 | (Half brother) |
Health Problem | Eczema as a child (outgrew), treated with over-the-counter cream | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 70 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 68 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Alzheimer's (mild, not treated) | 53 |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 53 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 80 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 72 | |
Health Problem | Lung cancer (smoker, treated with chemotherapy) | 68 |
Cause of death: Lung cancer | 72 | |
Living / Dead | Dead |
Your Father's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 55 | |
Health Problem | Healthy | |
Living / Dead | Living |
Religion:
Faith | None |
Denomination | Atheist |
Updates to Profile
Update Available | N/A |
Updates - Personal | N/A |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |