Physical
Height:
182 cm
(6'0") |
Weight:
77 kg
(170 lb) |
Eye Color:
Brown
|
Hair:
Black/
Curly |
Skin Tone:
Medium
|
Ancestry:
Multi
|
Blood Type:
B+
|
Ethnic Background:
Afr. Amer.-English-Native American/African American-Moroccan
|
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Education:
BA/Video Production
|
Occupation:
Student
|
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Interests:
|
Bass guitar, Constructing model cars and trains, Drum machine, Football, Guitar, Piano
|
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 | 59 | |
Health Problem | Healthy | |
Living / Dead | Living |
Brothers
Your Brother 1
Question | Response | Comment/Age Affected |
Current age or age at death | 35 | (Half-brother) |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 2
Question | Response | Comment/Age Affected |
Current age or age at death | 17 | (Half-brother) |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 3
Question | Response | Comment/Age Affected |
Current age or age at death | 15 | (Half-brother) |
Health Problem | Healthy | |
Living / Dead | Living |
Your Brother 4
Question | Response | Comment/Age Affected |
Current age or age at death | 15 | (Half-brother) |
Health Problem | Healthy | |
Living / Dead | Living |
Sisters
Your Sister 1
Question | Response | Comment/Age Affected |
Current age or age at death | 30 | (Half-sister) |
Health Problem | Healthy | |
Living / Dead | Living |
Your Sister 2
Question | Response | Comment/Age Affected |
Current age or age at death | 16 | (Half-sister) |
Health Problem | Healthy | |
Living / Dead | Living |
Your Sister 3
Question | Response | Comment/Age Affected |
Current age or age at death | 16 | (Half-sister) |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 63 | |
Health Problem | Lung cancer (was a smoker), diagnosed at approximately age 60, treated with chemotherapy | 60 |
Cause of death: Lung cancer | 63 | |
Living / Dead | Dead |
Your Mother's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 78 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 1
Question | Response | Comment/Age Affected |
Current age or age at death | 58 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 2
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Sisters 3
Question | Response | Comment/Age Affected |
Current age or age at death | 50 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 1
Question | Response | Comment/Age Affected |
Current age or age at death | 46 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Mother's Brothers 2
Question | Response | Comment/Age Affected |
Current age or age at death | 41 | |
Health Problem | Healthy | |
Living / Dead | Living |
Your Father's Father
Question | Response | Comment/Age Affected |
Current age or age at death | 62 | |
Health Problem | Flu, which progressed to pneumonia, treated in hospital | 62 |
Cause of death: Pneumonia | 62 | |
Living / Dead | Dead |
Your Father's Mother
Question | Response | Comment/Age Affected |
Current age or age at death | 56 | |
Health Problem | Non-Insulin dependent diabetes, no treatment received | 52 |
Cause of death: Complications of diabetes | 56 | |
Living / Dead | Dead |
Religion:
Faith | Christian |
Denomination | Catholic |
Updates to Profile
Update Available | N/A |
Updates - Personal | N/A |
Updates - Medical | N/A |
Updates - Family Medical History | N/A |