Physical
Medical
Family Medical History
Religion
Updates to ProfilePhysical
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Height:
177 cm
(5'10") |
Weight:
90 kg
(199 lb) |
Eye Color:
Blue
|
Hair:
Brown/
Wavy |
Skin Tone:
Medium Light
|
Ancestry:
Caucasian
|
|
Blood Type:
O+
|
Ethnic Background:
German/Finnish-Swedish
|
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Education:
BA/Exercise Science
|
Occupation:
Public Adjuster
|
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Interests:
|
Helping others, Mixed martial arts, Sports
|
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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: | 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 | 52 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 56 | |
| Health Problem | High blood pressure, controlled with medication | 55 |
| Living / Dead | Living |
Brothers
Your Brother 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 19 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Lung cancer, due to smoking, no treatment | 57 |
| Cause of death: Lung cancer | 62 | |
| Living / Dead | Dead |
Your Mother's Mother
| Question | Response | Comment/Age Affected |
| Current age or age at death | 82 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Sisters 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 57 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 2
| Question | Response | Comment/Age Affected |
| Current age or age at death | 55 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 3
| Question | Response | Comment/Age Affected |
| Current age or age at death | 54 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 4
| Question | Response | Comment/Age Affected |
| Current age or age at death | 50 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Mother's Brothers 5
| Question | Response | Comment/Age Affected |
| Current age or age at death | 48 | |
| Health Problem | Seizures, due to head injury from car accident, treated with medication | 19 |
| Living / Dead | Living |
Your Mother's Brothers 6
| Question | Response | Comment/Age Affected |
| Current age or age at death | 42 | |
| Health Problem | Healthy | |
| Living / Dead | Living |
Your Father's Father
| Question | Response | Comment/Age Affected |
| Current age or age at death | 62 | |
| Health Problem | Lung cancer, due to smoking, no treatment | 60 |
| Heart attack, no treatment | 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 | 85 | |
| Health Problem | Diabetes mellitus not requiring insulin therapy, controlled with exercise and diet restriction | 75 |
| Melanoma, treated with surgery | 80 | |
| Living / Dead | Living |
Your Father's Brothers 1
| Question | Response | Comment/Age Affected |
| Current age or age at death | 72 | |
| Health Problem | High blood pressure, controlled with medication | 72 |
| Living / Dead | Living |
Religion:
| Faith | Christian |
| Denomination | Roman Catholic |
Updates to Profile
| Update Available | Yes |
| Updates - Personal | No change to donor Personal Profile: April 2013, October 2014. Update received August 2015: Occupation has changed from Gym Manager to Public Adjuster. |
| Updates - Medical | No change to donor Medical Profile: April 2013, October 2014, August 2015. |
| Updates - Family Medical History | No change to donor Family Medical History: April 2013, October 2014, August 2015. |