Date:

DONOR PROFILE GENERAL INFORMATION Year of Birth: Place of Birth: Racial Group/Color Code:

Caucasian Black/Black Asian/Yellow Other/Red Ethnic Origin/Ancestry: Mother: Father:

Religion Born Into: Donor: Mother: Father: If Jewish: Ashkenazi Sephardic Oriental

Weight: kg Eye Color: Hair Color:

Hair: Hair Type: Corrective Lenses: Corrective Eye Surgery

balding curly Yes Yes thin wavy No No average straight thick Blood Type:

Bone Structure: Small Medium Large Very Large Are you predominately: right-handed left-handed ambidextrous

Other distinguishing features (dimples, cleft chin, Roman nose, etc.): Skin Characteristics: Freckles: None Few Many

Very fair (little to no ability to tan on sun exposure) Fair (skin will tan lightly on sun exposure) Medium (light color but will tan moderate to dark) Olive (pigmentation of unexposed skin) Light Moderate Dark Dark (unexposed skin) Light tan Dark Tan Brown Black

Donor:

Height: cm

EDUCATIONAL BACKGROUND (check highest level attained) High School 1 2 3 4 GPA:

College/University 1 2 3 4 GPA: B.A. B.S.

Major Area of Study:

Post Graduate 1 2 3 4 5+ GPA:

Major:

Degrees Attained: M.A. M.S. Ph.D. M.D. J.D. D.D.S. Other:

PERSONAL CHARACTERISTICS (Please describe in some detail) What is your native language? What other languages do you speak? Math Skills/Ability: Mechanical Skills: Athletic Skills: What is your favorite sport? What are your Hobbies/Interests/Talents: Describe your artistic ability: What are your favorite foods? What is your favorite color? Do you like animals? If so, which is your favorite? To where would you like to travel and why? How would you describe your personality? What is your ultimate ambition or goal in life and how do you see yourself in twenty years?

Donor:

ADDITIONAL ACADEMIC INFORMATION SAT Scores: Verbal Math Total LSAT MCAT GRE GMAT Other

Academic and professional societies to which you belong:

EMPLOYMENT/OCCUPATIONAL HISTORY What is your current or most recent occupation? List all the jobs you have had in the past five years and any exposure to chemicals and gases. Please consider carefully.

Jobs/Duties (Do not name employer)

Year employment Exposure to which chemicals, gases, etc.

Began Ended

1.

2.

3.

4.

5.

6.

Donor:

FERTILITY HISTORY Do you have any children? If yes, how many male children? female children? For each child, please give age, and list any health problems: Age Special Health Problems Have you ever been responsible for any pregnancies other than those listed above? No Yes If yes, what year did it occur? Have you ever been refused as a blood donor? No Yes If yes, explain: Has anyone in your family had difficulty in achieving pregnancy? No Yes If yes, explain: Are there any twins or triplets in your family? No Yes If yes describe:

Donor:

FAMILY MEDICAL HISTORY

Note: The following questions require knowledge about your familys medical history. You may wish to have your mother or father

assist you in obtaining the necessary information.

Has any member of your family, including yourself, had a problem or defect at birth in any of the following body systems?

1. Circulatory system No Yes

2. Gastrointestinal system No Yes

3. Genital/urinary system No Yes

4. Metabolic (hormones, enzymes, etc.) No Yes

5. Nervous system (brain, spinal cord, etc.) No Yes

6. Respiratory system No Yes

7. Skeletal system (bones, joints, muscles) No Yes

8. Organ (heart, lung, kidney, etc.) No Yes

9. Other: No Yes

If yes to any of the above, please list below the specific defect in each case.

Type of birth defect Affected family member Age at diagnosis Relevant circumstances

Do you have any brothers or sisters who died in infancy or childhood? No Yes

If yes, what was the cause?

Are there any diseases or abnormalities that appear to run in your family?

No Yes

If yes, indicate the disease(s) and the family member(s) affected.

Donor:

Has anyone in your family, including yourself, experienced recurring and/or chronic symptoms that have not been evaluated by a

physician? (Please include those symptoms that you may not consider serious.)

No Yes If yes, please describe:

Comments:

Medical Problem

You

Mother

Father

Siblings

Grandparents

Aunts

Uncles

Maternal Cousins

Paternal Cousins

No one

F

M

MGM

MGF

PGM

PGF

Mat

Pat

Mat

Pat

F

M

F

M

1. Cardiovascular

A. congenital heart defect

B. atherosclerosis

C. arteriosclerosis

D. heart attack

E. high blood pressure

F. stroke

G. other

2. Blood

A. anemia

B. sickle cell anemia

C. hemophilia or other

bleeding problem

D. leukemia

E. immune deficiency

F. other

3. Respiratory (lungs)

A. hay fever

B. asthma

C. emphysema

D. tuberculosis

E. lung cancer

F. pneumonia

G. other

4. Skin

A. acne

B. eczema

C. melanoma

D. skin cancer

E. pigmentation disorders

F. other

Donor:

Relatives Mother Father Siblings Grandparents Aunts UnclesMaternal Cousins

Paternal Cousins

Indicate number of relatives F M MGM MGF PGM PGF Mat Pat Mat Pat F M F M

1 1 1 1 1 1

Comments:

Medical Problem You Mother Father Siblings Grandparents Aunts Uncles Maternal Cousins

Paternal Cousins No

one F M MGM MGF PGM PGF Mat Pat Mat Pat F M F M

5. Gastro-intestinal A. ulcer of stomach or duodenum

B. gall stones C. hepatitis A (infectious) D. hepatitis B (serum) E. other liver disease F. colon cancer G. ulcerative colitis H. Crohn's disease I. cystic fibrosis J. intestinal cancer K. other 6. Urinary A. kidney disease B. disease of the urinary tract (urethra,bladder, ureter)

C. other

7. Genital/Reproductive system A. undescended testicle B. hypospadias C. prostate cancer D. uterine fibroids E. ovarian cysts F. cancer of cervix or uterus

G. breast cancer H. ovarian cancer I. Other

Donor:

Comments:

Medical Problem You Mother Father Siblings Grandparents Aunts Uncles Maternal Cousins

Paternal Cousins No

one F M MGM MGF PGM PGF Mat Pat Mat Pat F M F M

8. Metabolic/Endocrine A. diabetes mellitus B. hypoglycemia C. thyroid cancer D. thyroid disease E. goiter F. adrenal dysfunction or disorder

G. other 9. Neurological A. migraines B. mental retardation C. senility before age 50 D. Alzheimer's disease E. multiple sclerosis

F. epilepsy or seizure disorder

H. hydrocephalus I. disorders of spinal cord J. Huntington's disease K. Gaucher disease L. Wilson's disease M. delay in growth and/or development N. learning disorder O. other 10. Mental Health A. schizophrenia B. manic depressive illness

C. other mental health disorders requiring hospitalization

D. severe depression with periods of inability to function

E. other

Donor:

Comments:

Medical Problem You Mother Father Siblings Grandparents Aunts Uncles Maternal Cousins

Paternal Cousins No

one F M MGM MGF PGM PGF Mat Pat Mat Pat F M F M

11. Muscles/Bones/Joints A. muscular dystrophy B. other chronic muscle disease

C. lupus D. deformity of spine E. osteoporosis F. dwarfism G. hereditary low back disease

H. arthritis I. gout J. other 12. Sight/sound/smell A. deafness before age 60 B. significant hearing loss C. deformity of the ear D. cataracts before age 50 E. blindness F. color blindness G. glaucoma H. deviated septum I. any other sight/sound/ smell disorder

13. Other A. alcoholism

B. drug abuse, misuse, or addiction

C. any other cancer not mentioned above

D. any other condition not mentioned above

Donor:

PERSONAL HEALTH HISTORY Do you currently have any allergies? No Yes If yes, they are to: Food Drugs Plants Other Please list specific substances and reaction (s) produced:

Substance Reaction

Describe any childhood allergies you had:

How is your vision (without corrective lenses)? Excellent Good Fair Poor

Do you wear corrective lenses? No Yes Your vision is:

Are you: Nearsighted Farsighted Other (specify)

Have you undergone corrective eye surgery? No Yes

Do you have any hearing impairments? No Yes

If yes, please describe:

Condition of your teeth (check one): Good Fair Poor

Your diet is: Good Fair Poor

Any dietary restrictions?

Dietary supplements (vitamins, etc.)?

How often do you exercise? Regularly Occasionally Rarely

Type of exercise:

Have you ever had surgery? No Yes

If yes, please list all surgeries:

1) Year:

2) Year:

3) Year:

4) Year:

Donor:

Have you had any hospitalization not already mentioned? No Yes

If yes, please explain:

Have you had major x-ray exposure or other radiation exposure? No Yes

If yes, please explain:

Have you or your sexual partners ever had: Myself Partner When

NSU (non-specific urethritis) No Yes No Yes

Chlamydia No Yes No Yes

Genital Warts (HPV) No Yes No Yes

Genital Herpes No Yes No Yes

Other (s) No Yes No Yes

Type (s):

Have you ever been treated for any sexually-transmitted disease(s)? No Yes

If yes, for which disease(s):

When? Details?

When was the last time that you were treated?

Have you ever had any major illnesses such as amoebic dysentery, hepatitis, pneumonia, mononucleosis, etc.?

No Yes

If yes, please explain:

Do you have any chronic medical problems or conditions? No Yes

If yes, please explain:

Donor:

Have you ever been exposed to herbicides or toxic chemicals? No Yes

If yes, please explain:

Have you ever served in the military? No Yes

If yes, please explain:

Please list any medications you are currently taking: Please list any prescription, non-prescription or recreational drugs that you have used or are currently using. Describe any drug use as indicated below.

Name of Drug Date Started Date Ended Frequency of use How used?

How many alcoholic drinks do you consume during an average week? Have you ever had a drinking problem? No Yes

If yes, describe: Have you ever been treated for alcohol or drug abuse? No Yes

If yes, describe: Do you smoke cigarettes? No Yes

If yes, how many packs/day?

How long have you been smoking regularly?

Donor:

FAMILY HISTORY SECTION The following pages contain detailed information regarding the donors family members. There is one page of information for each family member, including his parents, siblings, grandparents, aunts and uncles. If the donor has more than one sister, you will find more than one page with the title, Sister of Donor. If the donor has no sisters, this page will be deleted. The same applies to brothers, aunts and uncles. For a summary of the number of family members, please refer to the top portion of page 6 in this profile.

Donor:

Weight: kg Eye Color:

FAMILY HISTORY Mother of Donor Year of Birth

Place of Birth:

Racial Group:

Caucasian Black Asian Other

If Jewish: Ashkenazi Sephardic Oriental

Height: cm Hair Color:

Hair:

Hair Type:

Vision:

Bone Structure:

Balding

Curly

Excellent

Small

Thin

Wavy

Good

Medium

Average

Straight

Fair

Large

Thick

Poor

Very Large

Other distinguishing features (dimples, cleft chin, Roman nose, etc.):

Skin Characteristics

Freckles:

None

Few

Many

Very fair (little to no ability to tan on sun exposure)

Fair (skin will tan lightly on sun exposure)

Medium (light color but will tan moderate to dark)

Olive (pigmentation of unexposed skin) Light Moderate Dark

Dark (unexposed skin) Light tan Dark Tan Brown Black

Occupation:

Education:

Special Skills or Characteristics:

If living, describe her health: Excellent Good Fair Poor

If deceased, give cause and age at time of death:

What kind of person is/was she?

Optimistic 1 2 3 4 Pessimistic

Assertive 1 2 3 4 Passive

Leader 1 2 3 4 Follower

Easy going 1 2 3 4 Controlling, rigid

Donor:

What kind of person is/was he?

If living, describe his health:

FAMILY HISTORY

Father of Donor

Year of Birth

Place of Birth:

Racial Group:

Caucasian

Black

Asian

Other

If Jewish:

Ashkenazi

Sephardic

Oriental

Height: cm Weight:

kg Eye Color: Hair Color:

Hair: Hair Type: Vision: Bone Structure:

Balding

Curly

Excellent

Small

Thin

Wavy

Good

Medium

Average

Straight

Fair

Large

Thick

Poor

Very Large

Other distinguishing features (dimples, cleft chin, Roman nose, etc.):

Skin Characteristics

Freckles:

None

Few

Many

Very fair (little to no ability to tan on sun exposure)

Fair (skin will tan lightly on sun exposure)

Medium (light color but will tan moderate to dark)

Olive (pigmentation of unexposed skin) Light Moderate Dark

Dark (unexposed skin) Light tan Dark Tan Brown Black

Occupation:

Education:

Special Skills or Characteristics:

Excellent Good Fair Poor

If deceased, give cause and age at time of death:

Optimistic 1 2 3 4 Pessimistic

Assertive 1 2 3 4 Passive

Leader 1 2 3 4 Follower

Easy going 1 2 3 4 Controlling, rigid

Donor:

What kind of person is/was he?

If living, describe his health:

Does he have any children?

FAMILY HISTORY Brother of Donor

cm

Year of Birth Place of Birth:

Relationship to Donor:

Full sibling

Half sibling: maternal paternal

Adopted into family (DO NOT COMPLETE THIS FORM)

Height: Weight: kg Eye Color: Hair Color:

Hair: Hair Type: Vision: Bone Structure:

Balding Curly Excellent Small

Thin Wavy Good Medium

Average Straight Fair Large

Thick Very LargePoor

Other distinguishing features (dimples, cleft chin, Roman nose, etc.):

Skin Characteristics

Freckles: None Few Many

Very fair (little to no ability to tan on sun exposure)

Fair (skin will tan lightly on sun exposure)

Medium (light color but will tan moderate to dark)

Olive (pigmentation of unexposed skin) Light Moderate Dark

Dark (unexposed skin) Light tan Dark Tan Brown Black

Occupation:

Education:

Special Skills or Characteristics:

No Yes

If yes, how many female children? male children?

Excellent Good Fair Poor

If deceased, give cause and age at time of death:

Optimistic 1 2 3 4 Pessimistic

Assertive 1 2 3 4 Passive

Leader 1 2 3 4 Follower

Easy going 1 2 3 4 Controlling, rigid

Donor:

What kind of person is/was he?

If living, describe his health:

Does he have any children?

FAMILY HISTORY Brother of Donor

cm

Year of Birth Place of Birth:

Relationship to Donor:

Full sibling

Half sibling: maternal paternal

Adopted into family (DO NOT COMPLETE THIS FORM)

Height: Weight: kg Eye Color: Hair Color:

Hair: Hair Type: Vision: Bone Structure:

Balding Curly Excellent Small

Thin Wavy Good Medium

Average Straight Fair Large

Thick Very LargePoor

Other distinguishing features (dimples, cleft chin, Roman nose, etc.):

Skin Characteristics

Freckles: None Few Many

Very fair (little to no ability to tan on sun exposure)

Fair (skin will tan lightly on sun exposure)

Medium (light color but will tan moderate to dark)

Olive (pigmentation of unexposed skin) Light Moderate Dark

Dark (unexposed skin) Light tan Dark Tan Brown Black

Occupation:

Education:

Special Skills or Characteristics:

No Yes

If yes, how many female children? male children?

Excellent Good Fair Poor

If deceased, give cause and age at time of death:

Optimistic 1 2 3 4 Pessimistic

Assertive 1 2 3 4 Passive

Leader 1 2 3 4 Follower

Easy going 1 2 3 4 Controlling, rigid

Donor:

FAMILY HISTORY

Maternal Grandmother of Donor

Year of Birth

Place of Birth:

Racial Group:

Caucasian

Black

Asian

Other

If Jewish:

Ashkenazi

Sephardic

Oriental

Height: cm Weight:

kg Eye Color: Hair Color:

Hair: Hair Type: Vision: Bone Structure:

Balding

Curly

Excellent

Small

Thin

Wavy

Good

Medium

Average

Straight

Fair

Large

Thick

Poor

Very Large

Other distinguishing features (dimples, cleft chin, Roman nose, etc.):

Skin Characteristics

Freckles:

None

Few

Many

Very fair (little to no ability to tan on sun exposure)

Fair (skin will tan lightly on sun exposure)

Medium (light color but will tan moderate to dark)

Olive (pigmentation of unexposed skin) Light Moderate Dark

Dark (unexposed skin) Light tan Dark Tan Brown Black

Occupation:

Education:

Special Skills or Characteristics:

If living, describe her health: Excellent Good Fair Poor

If deceased, give cause and age at time of death:

What kind of person is/was she?

Optimistic 1 2 3 4 Pessimistic

Assertive 1 2 3 4 Passive

Leader 1 2 3 4 Follower

Easy going 1 2 3 4 Controlling, rigid

Donor:

What kind of person is/was he?

FAMILY HISTORY

Maternal Grandfather of Donor

Year of Birth

Place of Birth:

Racial Group:

Caucasian Black Asian Other

If Jewish: Ashkenazi Sephardic Oriental

Height: cm Weight: kg Eye Color: Hair Color:

Hair: Hair Type: Vision: Bone Structure:

Balding Curly Excellent Small

Thin Wavy Good Medium

Average Straight Fair Large

Thick Poor Very Large

Other distinguishing features (dimples, cleft chin, Roman nose, etc.):

Skin Characteristics

Freckles: None Few Many

Very fair (little to no ability to tan on sun exposure)

Fair (skin will tan lightly on sun exposure)

Medium (light color but will tan moderate to dark)

Olive (pigmentation of unexposed skin) Light Moderate Dark

Dark (unexposed skin) Light tan Dark Tan Brown Black

Occupation:

Education:

Special Skills or Characteristics:

Excellent Good Fair Poor

If deceased, give cause and age at time of death:

Optimistic 1 2 3 4 Pessimistic

Assertive 1 2 3 4 Passive

Leader 1 2 3 4 Follower

Easy going 1 2 3 4 Controlling, rigid

If living, describe his health:

Donor:

FAMILY HISTORY Paternal Grandmother of Donor

Year of Birth

Place of Birth:

Racial Group:

Caucasian Black Asian Other

If Jewish: Ashkenazi Sephardic Oriental

Height: cm Weight: kg Eye Color: Hair Color:

Hair: Hair Type: Vision: Bone Structure:

Balding Curly Excellent Small

Thin Wavy Good Medium

Average Straight Fair Large

Thick Poor Very Large

Other distinguishing features (dimples, cleft chin, Roman nose, etc.):

Skin Characteristics

Freckles: None Few Many

Very fair (little to no ability to tan on sun exposure)

Fair (skin will tan lightly on sun exposure)

Medium (light color but will tan moderate to dark)

Olive (pigmentation of unexposed skin) Light Moderate Dark

Dark (unexposed skin) Light tan Dark Tan Brown Black

Occupation:

Education:

Special Skills or Characteristics:

If living, describe her health: Excellent Good Fair Poor

If deceased, give cause and age at time of death:

What kind of person is/was she?

Optimistic 1 2 3 4 Pessimistic

Assertive 1 2 3 4 Passive

Leader 1 2 3 4 Follower

Easy going 1 2 3 4 Controlling, rigid

Donor:

FAMILY HISTORY

Paternal Grandfather of Donor

What kind of person is/was he?

Year of Birth

Place of Birth:

Racial Group:

Caucasian Black Asian Other

If Jewish: Ashkenazi Sephardic Oriental

Height: cm Weight: kg Eye Color: Hair Color:

Hair: Hair Type: Vision: Bone Structure:

Balding Curly Excellent Small

Thin Wavy Good Medium

Average Straight Fair Large

Thick Poor Very Large

Other distinguishing features (dimples, cleft chin, Roman nose, etc.):

Skin Characteristics

Freckles: None Few Many

Very fair (little to no ability to tan on sun exposure)

Fair (skin will tan lightly on sun exposure)

Medium (light color but will tan moderate to dark)

Olive (pigmentation of unexposed skin) Light Moderate Dark

Dark (unexposed skin) Light tan Dark Tan Brown Black

Occupation:

Education:

Special Skills or Characteristics:

Excellent Good Fair Poor

If deceased, give cause and age at time of death:

Optimistic 1 2 3 4 Pessimistic

Assertive 1 2 3 4 Passive

Leader 1 2 3 4 Follower

Easy going 1 2 3 4 Controlling, rigid

If living, describe his health:

Donor:

If Jewish:

FAMILY HISTORY Paternal Aunt of Donor

Year of Birth

Place of Birth:

Racial Group:

Caucasian Black Asian Other

Ashkenazi Sephardic Oriental

Height: cm Weight: kg Eye Color: Hair Color:

Hair: Hair Type: Vision: Bone Structure:

Balding Curly Excellent Small

Thin Wavy Good Medium

Average Straight Fair Large

Thick Poor Very Large

Other distinguishing features (dimples, cleft chin, Roman nose, etc.):

Skin Characteristics

Freckles: None Few Many

Very fair (little to no ability to tan on sun exposure)

Fair (skin will tan lightly on sun exposure)

Medium (light color but will tan moderate to dark)

Olive (pigmentation of unexposed skin) Light Moderate Dark

Dark (unexposed skin) Light tan Dark Tan Brown Black

Occupation:

Education:

Special Skills or Characteristics:

Does she have any children? No Yes

If yes, how many female children? male children?

If living, describe her health: Excellent Good Fair Poor

If deceased, give cause and age at time of death:

What kind of person is/was she?

Optimistic 1 2 3 4 Pessimistic

Assertive 1 2 3 4 Passive

Leader 1 2 3 4 Follower

Easy going 1 2 3 4 Controlling, rigid

Donor:

FAMILY HISTORY

Paternal Uncle of Donor

Year of Birth

Place of Birth:

Racial Group:

Caucasian Black Asian Other

If Jewish: Ashkenazi Sephardic Oriental

Height: cm Weight: kg Eye Color: Hair Color:

Hair: Hair Type: Vision: Bone Structure:

Balding Curly Excellent Small

Thin Wavy Good Medium

Average Straight Fair Large

Thick Poor Very Large

Other distinguishing features (dimples, cleft chin, Roman nose, etc.):

Skin Characteristics

Freckles: None Few Many

Very fair (little to no ability to tan on sun exposure)

Fair (skin will tan lightly on sun exposure)

Medium (light color but will tan moderate to dark)

Olive (pigmentation of unexposed skin) Light Moderate Dark

Dark (unexposed skin) Light tan Dark Tan Brown Black

Occupation:

Education:

Special Skills or Characteristics:

What kind of person is/was he?

If living, describe his health:

Does he have any children? No Yes

If yes, how many female children? male children?

Excellent Good Fair Poor

If deceased, give cause and age at time of death:

Optimistic 1 2 3 4 Pessimistic

Assertive 1 2 3 4 Passive

Leader 1 2 3 4 Follower

Easy going 1 2 3 4 Controlling, rigid

Donor:

In Your Own Words

What did you do immediately after high school?

Which words describe your personality and character?

Which sports do you like to participate in?

Which sports did you play as a child?

Which sports do you enjoy watching?

Do you play any musical instruments?

What is your most memorable childhood experience?

To which countries have you traveled?

Describe one of your favorite vacations to another country:

Describe things you like the most about your own country:

Describe a few of your strong sides:

Describe a few of your weak sides:

Why do you want to be a donor?

Describe your relationship with your family. How has your family shaped your values and who you are today?

What makes you unique?

What are you most proud of and why?

Donor:

8105 Donor Profile modtaget 29-aug-118105 Handwritten message

Text2: 19-aug-2011Text3: 1978Text4: DenmarkCheck1: YesCheck2: Check3: Check4: Text5: DanishText6: ItalianText9: ProtestantismText7: ProtestantismText8: CatolicCheck5: Check6: Check7: Text11a: 195Text11: 95Combo Box1_3: BlueCombo Box1_4: BrownCheck8: Check9: Check10: Check11: YesCheck12: Check13: Check14: YesCheck15: Check16: YesCheck151: Check161: YesText1: O Rh+Check17: Check18: YesCheck19: Check20: Check21: YesCheck22: Check23: Text12: Check24: YesCheck25: Check26: Check27: Check28: Check29: YesCheck30: Check33: Check35: Check36: Check31: Check32: Check34: Check37: Check38: page01: 1Check39: Check40: Check41: Check42: YesText13: Check391: Check401: YesCheck411: Check421: Text14: Check43: Check44: Text15: Finanical AssistantCheck392: Check402: Check412: Check422: Check45: Check46: Check47: Check48: Check49: Check50: Check51: Check52: Text17: Text18: Danish and Italian fluentlyDonorId: Akton

Text32: Text16: Text19: EnglishText20: goodText21: fineText22: acceptableText23: horses, football, icehockeyText24: computers, model trainsText25: lowText26: good healty foodText27: blue, greenText28: horses, dogsText29: USA & Austalia, to experience the "big" and the nature and animals.Text30: stubborn, determinded, structureless, is bad to complete things.Text31: That my company runs without me, so that I can have some more time to my family.page11: 2Text33: Text36: Text39: Text34: Text37: Text40: Text35: Text38: TextOccupation: Full time managerText41: Samme arbejdsplads de sidste 12 rhar lbende udviklet mig og sidder nu som direktr fra 01/07Combo Box3_1: 1998Combo Box3_2: Text47: Text42: Combo Box3_3: Combo Box3_4: Text48: Text43: Combo Box3_5: Combo Box3_6: Text49: Text44: Combo Box3_7: Combo Box3_8: Text50: Text45: Combo Box3_9: Combo Box3_10: Text51: Text46: Combo Box3_11: Combo Box3_12: Text52: Text89: page21: 3Text53: yesText54: 1Text55: 1Text56: 11Text60: noText57: 9Text61: noText58: Text62: Text59: Text63: Check53: Text64: I am going to be father again December 2011.Check54: YesCheck55: YesCheck56: Text65: Text66: Check57: YesCheck58: Check59: YesCheck60: Text67: page31: 4Check61: YesCheck70: Check62: YesCheck71: Check63: YesCheck72: Check64: YesCheck73: Check65: YesCheck74: Check66: YesCheck75: Check67: Check76: YesCheck68: YesCheck77: Check69: YesCheck78: Text68: Text69: spastic in one of his legsText75: sonText81: 5Text87: he was stuck during his birthText70: Text76: Text82: Text88: Text71: Text77: Text83: Text91: Text72: Text78: Text84: Text92: Text73: Text79: Text85: Text93: Text74: Text80: Text86: Text94: Check79: YesCheck80: Text95: Check611: YesCheck701: Text96: CheckBox: YesCheck702: Text97: page41: 5Text98: 0Text99: 2Text100: 0Text101: 1Text102: 0Text103: 1Text104: 0Text105: 0Text106: 3Text107: 1Check1_2: Check2_2: Check3_2: Check4_2: Check5_2: Check6_2: Check7_2: Check8_2: Check9_2: Check10_2: Check11_2: Check12_2: Check13_2: Check14_2: Check15_2: Check16_2: Check17_2: Check18_2: YesCheck19_2: Check21_2: Check31_2: Check41_2: Check51_2: Check61_2: Check71_2: Check81: Check91: Check101: Check111: Check121: Check131: Check141: Check151_2: Check161_2: Check171: Check181: YesCheck110: Check22_2: Check32_2: Check42_2: Check52_2: Check62_2: Check72_2: Check82: Check92: Check102: Check112: Check122: Check132: Check142: Check152: Check162: Check172: Check182: YesCheck113: Check23_2: Check33_2: Check43_2: Check53_2: Check63_2: Check73_2: Check83: Check93: Check103: Check114: Check123: Check133: Check143: Check153: Check163: Check173: Check183: YesCheck115: Check24_2: Check34_2: Check44_2: Check54_2: Check64_2: Check74_2: Check84: YesCheck94: Check104: Check116: Check124: Check134: Check144: Check154: Check164: Check174: Check184: Check117: Check25_2: Check35_2: Check45_2: Check55_2: Check65_2: Check75_2: Check85: Check95: Check105: Check118: Check125: Check135: Check145: Check155: Check165: Check175: Check185: YesCheck119: Check26_2: Check36_2: Check46_2: Check56_2: Check66_2: Check76_2: Check86: Check96: Check106: Check1110: Check126: Check136: Check146: Check156: Check166: Check176: Check186: YesCheck120: Check27_2: Check37_2: Check47_2: Check57_2: Check67_2: Check77_2: Check87: Check97: Check107: Check1111: Check127: Check137: Check147: Check157: Check167: Check177: Check187: YesCheck128: Check28_2: Check38_2: Check48_2: Check58_2: Check68_2: Check78_2: Check88: Check98: Check108: Check1112: Check129: Check138: Check148: Check158: Check168: Check178: Check188: YesCheck130: Check29_2: Check39_2: Check49_2: Check59_2: Check69_2: Check79_2: Check89: Check99: Check109: Check1113: Check1210: Check139: Check149: Check159: Check169: Check179: Check189: YesCheck140: Check210: Check310: Check410: Check510: Check610: Check710: Check810: Check910: Check1010: Check1114: Check1211: Check1310: Check1410: Check1510: Check1610: Check1710: Check1810: YesCheck150: Check211: Check311: Check411_2: Check511: Check611_2: 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Check1023: Check1127: Check1224: Check1323: Check1423: Check1523: Check1623: Check1723: Check1823: YesCheck199: Check224: Check324: Check424: Check524: Check624: Check724: Check824: Check924: Check1024: Check1128: Check1225: Check1324: Check1424: Check1524: Check1624: Check1724: Check1824: YesCheck1100: Check225: Check325: Check425: Check525: Check625: Check725: Check825: Check925: Check1025: Check1129: Check1226: Check1325: Check1425: Check1525: Check1625: Check1725: Check1825: YesCheck170: Check213: Check313: Check413: Check513: Check613: Check713: Check813: Check913: Check1013: Check1117: Check1214: Check1313: Check1413: Check1513: Check1613: Check1713: Check1813: YesCheck180: Check214: Check314: Check414: Check514: Check614: Check714: Check814: Check914: Check1014: Check1118: Check1215: Check1314: Check1414: Check1514: Check1614: Check1714: Check1814: YesCheck190: Check215: Check315: Check415: Check515: Check615: Check715: Check815: Check915: Check1015: Check1119: Check1216: Check1315: Check1415: Check1515: Check1615: Check1715: Check1815: YesCheck191: Check216: Check316: Check416: Check516: Check616: Check716: Check816: Check916: Check1016: Check1120: Check1217: Check1316: Check1416: Check1516: Check1616: Check1716: Check1816: YesCheck192: Check217: Check317: Check417: Check517: Check617: Check717: Check817: Check917: YesCheck1017: Check1121: Check1218: Check1317: Check1417: Check1517: Check1617: Check1717: Check1817: Check193: Check218: Check318: Check418: Check518: Check618: Check718: Check818: Check918: Check1018: Check1122: Check1219: Check1318: Check1418: Check1518: Check1618: Check1718: Check1818: YesCheck194: Check219: Check319: Check419: Check519: Check619: Check719: Check819: Check919: Check1019: Check1123: Check1220: Check1319: Check1419: Check1519: Check1619: Check1719: Check1819: YesText108: 1E: Diagnosed around 70 years of age. Medicated and now fine. 3E: PGF dead in his 50's of lung cancer. He was a big smoker for his entire life. page51: 6Check1_3: Check2_3: Check3_3: Check4_3: Check5_3: Check6_3: Check7_3: Check8_3: Check9_3: Check10_3: Check11_3: Check12_3: Check13_3: Check14_3: Check15_3: Check16_3: Check17_3: Check18_3: YesCheck19_3: Check21_3: Check31_3: Check41_3: Check51_3: Check61_3: Check71_3: Check81_2: Check91_2: Check101_2: Check111_2: Check121_2: Check131_2: Check141_2: Check151_3: Check161_3: Check171_2: Check181_2: YesCheck110_2: Check22_3: Check32_3: Check42_3: Check52_3: Check62_3: Check72_3: Check82_2: Check92_2: Check102_2: Check112_2: Check122_2: Check132_2: Check142_2: Check152_2: Check162_2: Check172_2: Check182_2: YesCheck113_2: Check23_3: Check33_3: Check43_3: Check53_3: Check63_3: Check73_3: Check83_2: Check93_2: Check103_2: Check114_2: Check123_2: Check133_2: Check143_2: Check153_2: Check163_2: Check173_2: Check183_2: YesCheck115_2: Check24_3: Check34_3: Check44_3: Check54_3: Check64_3: Check74_3: Check84_2: Check94_2: Check104_2: Check116_2: 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Check79_3: Check89_2: Check99_2: Check109_2: Check1113_2: Check1210_2: Check139_2: Check149_2: Check159_2: Check169_2: Check179_2: Check189_2: YesCheck140_2: Check210_2: Check310_2: Check410_2: Check510_2: Check610_2: Check710_2: Check810_2: Check910_2: Check1010_2: Check1114_2: Check1211_2: Check1310_2: Check1410_2: Check1510_2: Check1610_2: Check1710_2: Check1810_2: YesCheck180_2: Check214_2: Check314_2: Check414_2: Check514_2: Check614_2: Check714_2: Check814_2: Check914_2: Check1014_2: Check1118_2: Check1215_2: Check1314_2: Check1414_2: Check1514_2: Check1614_2: Check1714_2: Check1814_2: YesCheck190_2: Check215_2: Check315_2: Check415_2: Check515_2: Check615_2: Check715_2: Check815_2: Check915_2: Check1015_2: Check1119_2: Check1216_2: Check1315_2: Check1415_2: Check1515_2: Check1615_2: Check1715_2: Check1815_2: YesCheck191_2: Check216_2: Check316_2: Check416_2: Check516_2: Check616_2: Check716_2: Check816_2: Check916_2: Check1016_2: Check1120_2: Check1217_2: Check1316_2: Check1416_2: Check1516_2: Check1616_2: Check1716_2: Check1816_2: YesCheck192_2: Check217_2: Check317_2: Check417_2: Check517_2: Check617_2: Check717_2: Check817_2: Check917_2: Check1017_2: Check1121_2: Check1218_2: Check1317_2: Check1417_2: Check1517_2: Check1617_2: Check1717_2: Check1817_2: YesCheck193_2: Check218_2: Check318_2: Check418_2: Check518_2: Check618_2: Check718_2: Check818_2: Check918_2: Check1018_2: Check1122_2: Check1219_2: Check1318_2: Check1418_2: Check1518_2: Check1618_2: Check1718_2: Check1818_2: YesCheck194_2: Check219_2: Check319_2: Check419_2: Check519_2: Check619_2: Check719_2: Check819_2: Check919_2: Check1019_2: Check1123_2: Check1220_2: Check1319_2: Check1419_2: Check1519_2: Check1619_2: Check1719_2: Check1819_2: YesCheck195_2: Check220_2: Check320_2: Check420_2: Check520_2: Check620_2: Check720_2: Check820_2: Check920_2: Check1020_2: Check1124_2: Check1221_2: Check1320_2: Check1420_2: Check1520_2: Check1620_2: Check1720_2: Check1820_2: YesCheck196_2: Check221_2: Check321_2: Check421_3: Check521_2: Check621_2: Check721_2: Check821_2: Check921_2: Check1021_2: Check1125_2: Check1222_2: Check1321_2: Check1421_2: Check1521_2: Check1621_2: Check1721_2: Check1821_2: YesCheck197_2: Check222_2: Check322_2: Check422_3: Check522_2: Check622_2: Check722_2: Check822_2: Check922_2: Check1022_2: Check1126_2: Check1223_2: Check1322_2: Check1422_2: Check1522_2: Check1622_2: Check1722_2: Check1822_2: YesCheck150_2: Check211_2: Check311_2: Check411_3: Check511_2: Check611_3: Check711_2: Check811_2: Check911_2: Check1011_2: Check1115_2: Check1212_2: Check1311_2: Check1411_2: Check1511_2: Check1611_2: Check1711_2: Check1811_2: YesCheck160_2: Check212_2: Check312_2: Check412_3: Check512_2: Check612_2: Check712_2: Check812_2: Check912_2: Check1012_2: Check1116_2: Check1213_2: Check1312_2: Check1412_2: Check1512_2: Check1612_2: Check1712_2: Check1812_2: YesCheck170_2: Check213_2: Check313_2: Check413_2: Check513_2: Check613_2: Check713_2: Check813_2: Check913_2: Check1013_2: Check1117_2: Check1214_2: Check1313_2: Check1413_2: Check1513_2: Check1613_2: Check1713_2: Check1813_2: YesText109: page61: 7Check1_4: Check2_4: Check3_4: Check4_4: Check5_4: Check6_4: Check7_4: Check8_4: YesCheck9_4: Check10_4: Check11_4: Check12_4: Check13_4: Check14_4: Check15_4: Check16_4: Check17_4: Check18_4: Check19_4: Check21_4: Check31_4: Check41_4: Check51_4: Check61_4: Check71_4: Check81_3: Check91_3: Check101_3: Check111_3: Check121_3: Check131_3: Check141_3: Check151_4: Check161_4: Check171_3: Check181_3: YesCheck110_3: Check22_4: Check32_4: Check42_4: Check52_4: Check62_4: Check72_4: Check82_3: Check92_3: Check102_3: Check112_3: Check122_3: Check132_3: Check142_3: Check152_3: Check162_3: Check172_3: Check182_3: YesCheck113_3: Check23_4: Check33_4: Check43_4: Check53_4: Check63_4: Check73_4: Check83_3: Check93_3: Check103_3: Check114_3: Check123_3: Check133_3: Check143_3: Check153_3: Check163_3: Check173_3: Check183_3: YesCheck115_3: Check24_4: Check34_4: Check44_4: Check54_4: Check64_4: Check74_4: Check84_3: Check94_3: Check104_3: Check116_3: Check124_3: Check134_3: Check144_3: Check154_3: Check164_3: Check174_3: Check184_3: YesCheck117_3: Check25_4: Check35_4: Check45_4: Check55_4: Check65_4: Check75_4: Check85_3: Check95_3: Check105_3: Check118_3: Check125_3: Check135_3: Check145_3: Check155_3: Check165_3: Check175_3: Check185_3: YesCheck119_3: Check26_4: Check36_4: Check46_4: Check56_4: Check66_4: Check76_4: Check86_3: Check96_3: Check106_3: Check1110_3: Check126_3: Check136_3: Check146_3: Check156_3: Check166_3: Check176_3: Check186_3: YesCheck197_3: Check222_3: Check322_3: Check422_4: Check522_3: Check622_3: Check722_3: Check822_3: Check922_3: Check1022_3: Check1126_3: Check1223_3: Check1322_3: Check1422_3: Check1522_3: Check1622_3: Check1722_3: Check1822_3: YesCheck198_2: Check223_2: Check323_2: Check423_2: Check523_2: Check623_2: Check723_2: Check823_2: Check923_2: Check1023_2: Check1127_2: Check1224_2: Check1323_2: Check1423_2: Check1523_2: Check1623_2: Check1723_2: Check1823_2: YesCheck199_2: Check224_2: Check324_2: Check424_2: Check524_2: Check624_2: Check724_2: Check824_2: Check924_2: Check1024_2: Check1128_2: Check1225_2: Check1324_2: Check1424_2: Check1524_2: Check1624_2: Check1724_2: Check1824_2: YesCheck1100_2: Check225_2: Check325_2: Check425_2: Check525_2: Check625_2: Check725_2: Check825_2: Check925_2: Check1025_2: Check1129_2: Check1226_2: Check1325_2: Check1425_2: Check1525_2: Check1625_2: Check1725_2: Check1825_2: YesCheck1101: Check226: Check326: Check426: Check526: Check626: Check726: Check826: Check926: Check1026: Check1130: Check1227: Check1326: Check1426: Check1526: Check1626: Check1726: Check1826: YesCheck120_3: Check27_4: Check37_4: Check47_4: Check57_4: Check67_4: Check77_4: Check87_3: Check97_3: Check107_3: Check1111_3: Check127_3: Check137_3: Check147_3: Check157_3: Check167_3: Check177_3: Check187_3: YesCheck128_3: Check28_4: Check38_4: Check48_4: Check58_4: Check68_4: Check78_4: Check88_3: Check98_3: Check108_3: Check1112_3: Check129_3: Check138_3: Check148_3: Check158_3: Check168_3: Check178_3: Check188_3: YesCheck130_3: Check29_4: Check39_4: Check49_4: Check59_4: Check69_4: Check79_4: Check89_3: Check99_3: Check109_3: Check1113_3: Check1210_3: Check139_3: Check149_3: Check159_3: Check169_3: Check179_3: Check189_3: YesCheck140_3: Check210_3: Check310_3: Check410_3: Check510_3: Check610_3: Check710_3: Check810_3: Check910_3: Check1010_3: Check1114_3: Check1211_3: Check1310_3: Check1410_3: Check1510_3: Check1610_3: Check1710_3: Check1810_3: YesCheck150_3: Check211_3: Check311_3: Check411_4: Check511_3: Check611_4: Check711_3: Check811_3: Check911_3: Check1011_3: Check1115_3: Check1212_3: Check1311_3: Check1411_3: Check1511_3: Check1611_3: Check1711_3: Check1811_3: YesCheck160_3: Check212_3: Check312_3: Check412_4: Check512_3: Check612_3: Check712_3: Check812_3: Check912_3: Check1012_3: Check1116_3: Check1213_3: Check1312_3: Check1412_3: Check1512_3: Check1612_3: Check1712_3: Check1812_3: YesCheck170_3: Check213_3: Check313_3: Check413_3: Check513_3: Check613_3: Check713_3: Check813_3: Check913_3: Check1013_3: Check1117_3: Check1214_3: Check1313_3: Check1413_3: Check1513_3: Check1613_3: Check1713_3: Check1813_3: YesCheck180_3: Check214_3: Check314_3: Check414_3: Check514_3: Check614_3: Check714_3: Check814_3: Check914_3: Check1014_3: Check1118_3: Check1215_3: Check1314_3: Check1414_3: Check1514_3: Check1614_3: Check1714_3: Check1814_3: YesCheck190_3: Check215_3: Check315_3: Check415_3: Check515_3: Check615_3: Check715_3: Check815_3: Check915_3: Check1015_3: Check1119_3: Check1216_3: Check1315_3: Check1415_3: Check1515_3: Check1615_3: Check1715_3: Check1815_3: YesCheck191_3: Check216_3: Check316_3: Check416_3: Check516_3: Check616_3: Check716_3: Check816_3: Check916_3: Check1016_3: Check1120_3: Check1217_3: Check1316_3: Check1416_3: Check1516_3: Check1616_3: Check1716_3: Check1816_3: YesCheck192_3: Check217_3: Check317_3: Check417_3: Check517_3: Check617_3: Check717_3: Check817_3: Check917_3: Check1017_3: Check1121_3: Check1218_3: Check1317_3: Check1417_3: Check1517_3: Check1617_3: Check1717_3: Check1817_3: YesCheck193_3: Check218_3: Check318_3: Check418_3: Check518_3: Check618_3: Check718_3: Check818_3: Check918_3: Check1018_3: Check1122_3: Check1219_3: Check1318_3: Check1418_3: Check1518_3: Check1618_3: Check1718_3: Check1818_3: YesCheck194_3: Check219_3: Check319_3: Check419_3: Check519_3: Check619_3: Check719_3: Check819_3: Check919_3: Check1019_3: Check1123_3: Check1220_3: Check1319_3: Check1419_3: Check1519_3: Check1619_3: Check1719_3: Check1819_3: YesCheck195_3: Check220_3: Check320_3: Check420_3: Check520_3: Check620_3: Check720_3: Check820_3: Check920_3: Check1020_3: Check1124_3: Check1221_3: Check1320_3: Check1420_3: Check1520_3: Check1620_3: Check1720_3: Check1820_3: YesCheck196_3: Check221_3: Check321_3: Check421_4: Check521_3: Check621_3: Check721_3: Check821_3: Check921_3: Check1021_3: Check1125_3: Check1222_3: Check1321_3: Check1421_3: Check1521_3: Check1621_3: Check1721_3: Check1821_3: YesText110: 8A: PGM diagnised with type II diabetes in her 50's. page71: 8Check1_5: Check2_5: Check3_5: Check4_5: Check5_5: Check6_5: Check7_5: Check8_5: Check9_5: Check10_5: Check11_5: Check12_5: Check13_5: Check14_5: Check15_5: Check16_5: Check17_5: Check18_5: YesCheck19_5: Check21_5: Check31_5: Check41_5: Check51_5: Check61_5: Check71_5: Check81_4: Check91_4: Check101_4: Check111_4: Check121_4: Check131_4: Check141_4: Check151_5: Check161_5: Check171_4: Check181_4: YesCheck110_4: Check22_5: Check32_5: Check42_5: Check52_5: Check62_5: Check72_5: Check82_4: Check92_4: Check102_4: Check112_4: Check122_4: Check132_4: Check142_4: Check152_4: Check162_4: Check172_4: Check182_4: YesCheck113_4: Check23_5: Check33_5: Check43_5: Check53_5: Check63_5: Check73_5: Check83_4: Check93_4: Check103_4: Check114_4: Check123_4: Check133_4: Check143_4: Check153_4: Check163_4: Check173_4: Check183_4: YesCheck115_4: Check24_5: Check34_5: Check44_5: Check54_5: Check64_5: Check74_5: Check84_4: Check94_4: Check104_4: Check116_4: Check124_4: Check134_4: Check144_4: Check154_4: Check164_4: Check174_4: Check184_4: YesCheck117_4: Check25_5: Check35_5: Check45_5: Check55_5: Check65_5: Check75_5: Check85_4: Check95_4: Check105_4: Check118_4: Check125_4: Check135_4: Check145_4: Check155_4: Check165_4: Check175_4: Check185_4: YesCheck119_4: Check26_5: Check36_5: Check46_5: Check56_5: Check66_5: Check76_5: Check86_4: Check96_4: Check106_4: Check1110_4: Check126_4: Check136_4: Check146_4: Check156_4: Check166_4: Check176_4: Check186_4: YesCheck120_4: Check27_5: Check37_5: Check47_5: Check57_5: Check67_5: Check77_5: Check87_4: Check97_4: Check107_4: Check1111_4: Check127_4: Check137_4: Check147_4: Check157_4: Check167_4: Check177_4: Check187_4: YesCheck128_4: Check28_5: Check38_5: Check48_5: Check58_5: Check68_5: Check78_5: Check88_4: Check98_4: Check108_4: Check1112_4: Check129_4: Check138_4: Check148_4: Check158_4: Check168_4: Check178_4: Check188_4: YesCheck130_4: Check29_5: Check39_5: Check49_5: Check59_5: Check69_5: Check79_5: Check89_4: Check99_4: Check109_4: Check1113_4: Check1210_4: Check139_4: Check149_4: Check159_4: Check169_4: Check179_4: Check189_4: YesCheck194_4: Check219_4: Check319_4: Check419_4: Check519_4: Check619_4: Check719_4: Check819_4: Check919_4: Check1019_4: Check1123_4: Check1220_4: Check1319_4: Check1419_4: Check1519_4: Check1619_4: Check1719_4: Check1819_4: YesCheck195_4: Check220_4: Check320_4: Check420_4: Check520_4: Check620_4: Check720_4: Check820_4: Check920_4: Check1020_4: Check1124_4: Check1221_4: Check1320_4: Check1420_4: Check1520_4: Check1620_4: Check1720_4: Check1820_4: YesCheck196_4: Check221_4: Check321_4: Check421_5: Check521_4: Check621_4: Check721_4: Check821_4: Check921_4: Check1021_4: Check1125_4: Check1222_4: Check1321_4: Check1421_4: Check1521_4: Check1621_4: Check1721_4: Check1821_4: YesCheck197_4: Check222_4: Check322_4: Check422_5: Check522_4: Check622_4: Check722_4: Check822_4: Check922_4: Check1022_4: Check1126_4: Check1223_4: Check1322_4: Check1422_4: Check1522_4: Check1622_4: Check1722_4: Check1822_4: YesCheck140_4: Check210_4: Check310_4: Check410_4: Check510_4: Check610_4: Check710_4: Check810_4: Check910_4: Check1010_4: Check1114_4: Check1211_4: Check1310_4: Check1410_4: Check1510_4: Check1610_4: Check1710_4: Check1810_4: YesCheck150_4: Check211_4: Check311_4: Check411_5: Check511_4: Check611_5: Check711_4: Check811_4: Check911_4: Check1011_4: Check1115_4: Check1212_4: Check1311_4: Check1411_4: Check1511_4: Check1611_4: Check1711_4: Check1811_4: YesCheck160_4: Check212_4: Check312_4: Check412_5: Check512_4: Check612_4: Check712_4: Check812_4: Check912_4: Check1012_4: Check1116_4: Check1213_4: Check1312_4: Check1412_4: Check1512_4: Check1612_4: Check1712_4: Check1812_4: YesCheck170_4: Check213_4: Check313_4: Check413_4: Check513_4: Check613_4: Check713_4: Check813_4: Check913_4: Check1013_4: Check1117_4: Check1214_4: Check1313_4: Check1413_4: Check1513_4: Check1613_4: Check1713_4: Check1813_4: YesCheck180_4: Check214_4: Check314_4: Check414_4: Check514_4: Check614_4: Check714_4: Check814_4: Check914_4: Check1014_4: Check1118_4: Check1215_4: Check1314_4: Check1414_4: Check1514_4: Check1614_4: Check1714_4: Check1814_4: YesCheck190_4: Check215_4: Check315_4: Check415_4: Check515_4: Check615_4: Check715_4: Check815_4: Check915_4: Check1015_4: Check1119_4: Check1216_4: Check1315_4: Check1415_4: Check1515_4: Check1615_4: Check1715_4: Check1815_4: YesCheck191_4: Check216_4: Check316_4: Check416_4: Check516_4: Check616_4: Check716_4: Check816_4: Check916_4: Check1016_4: Check1120_4: Check1217_4: Check1316_4: Check1416_4: Check1516_4: Check1616_4: Check1716_4: Check1816_4: YesCheck192_4: Check217_4: Check317_4: Check417_4: Check517_4: Check617_4: Check717_4: Check817_4: Check917_4: Check1017_4: Check1121_4: Check1218_4: Check1317_4: Check1417_4: Check1517_4: Check1617_4: Check1717_4: Check1817_4: YesCheck193_4: Check218_4: Check318_4: Check418_4: Check518_4: Check618_4: Check718_4: Check818_4: Check918_4: Check1018_4: Check1122_4: Check1219_4: Check1318_4: Check1418_4: Check1518_4: Check1618_4: Check1718_4: Check1818_4: YesText111: page81: 9Check144_5: YesCheck145_5: Check159_5: Check160_5: Check161_6: Check162_5: Text112: Text113: Text114: Text115: Text116: grass, milk and tomatoesCheck138_5: YesCheck139_5: Check140_5: Check141_5: Check142_5: YesCheck143_5: Check165_5: Check166_5: Check167_5: Text117: Check1441: YesCheck1451: Check1442: YesCheck1452: Text118: Check135_5: YesCheck136_5: Check137_5: Check1351: YesCheck1361: Check1371: Check146_5: Check147_5: YesCheck148_5: Check157_5: Check158_5: YesText122: appendix removedText126: aprox.1984Text123: Text127: Text124: Text128: Text125: Text129: Text1097_10: Text109_10: Text1091_10: Text1092_10: Text1093_10: Text1094_10: Text1095_10: Text1096_10: Text1098_10: Text1099_10: Text10910_10: Text10911_10: Text10912_10: Text10913_10: Text10914_10: Text10915_10: Text10916_10: Text10917_10: Text10918_10: Text10919_10: Text10920_10: Text10921_10: Text10922_10: Text10923_10: Text10924_10: Text119: NoneText120: NoneText10925_10: Text10926_10: Text10927_10: Text10928_10: Text121: walking/running with dog dog. 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Check97_5: YesCheck98_5: Check99_5: Text184: Check24_6: YesCheck25_6: Check26_6: Check103_5: Check104_5: Check105_5: YesCheck106_5: Check108_5: Check109_5: Check110_5: Check107_5: Check111_5: Check112_5: Check113_5: Check114_5: Text185: LeaderText186: Laboratory technicianText187: Check115_5: YesCheck116_5: Check117_5: Check118_5: Text188: Check119_5: Check120_5: Check121_5: YesCheck122_5: Check123_5: Check128_5: Check129_5: YesCheck134_5: Check124_5: Check127_5: Check130_5: YesCheck133_5: Check125_5: Check126_5: Check131_5: YesCheck132_5: Text109_14: Text1091_14: Text1092_14: Text1093_14: Text1094_14: Text1095_14: Text1096_14: Text1097_14: Text1098_14: Text1099_14: Text10910_14: Text10911_14: Text10913_14: Text10912_14: Text10914_14: Text10915_14: Text10916_14: Text10917_14: Text10918_14: Text10919_14: Text10920_14: Text10921_14: Text10922_14: Text10923_14: Text10924_14: Text10925_14: Text10926_14: Text10927_14: Text10928_14: Text10929_14: Text10930_14: Text10931_14: Text10932_14: Text10933_14: Text10934_14: Text10935_14: Text10936_14: Text10937_14: Text10938_14: Text10939_14: Text10940_14: Text10941_14: Text10942_14: Text10943_14: Text10944_14: Text10945_14: Text10946_14: Text10947_14: Text10948_14: Text10949_14: Text10950_14: Text10951_14: Text10952_14: Text10953_14: page131: 14Text189: 1957Text190: italyCheck81_6: YesCheck82_6: Check83_6: Check84_6: Check168_6: Check169_6: Check170_6: Text192a: 180Text192: 75Combo Box1_father_3: BrownCombo Box1_father_hair4: BrownCheck85_6: Check86_6: Check87_6: YesCheck88_6: Check89_6: Check90_2: Check91_6: YesCheck92_6: Check93_6: YesCheck94_6: Check95_6: Check96_6: Check97_6: YesCheck98_6: Check99_6: Text194: Check24_7: YesCheck25_7: Check26_7: Check103_6: Check104_6: Check105_6: YesCheck106_6: Check108_6: Check109_6: Check110_6: Check107_6: Check111_6: Check112_6: Check113_6: Check114_6: Text195: sales and develope managerText196: chefText197: Check115_6: YesCheck116_6: Check117_6: Check118_6: Text198: Check119_6: Check120_6: YesCheck121_6: Check122_6: Check123_6: YesCheck128_6: Check129_6: Check134_6: Check124_6: Check127_6: YesCheck130_6: Check133_6: Check125_6: Check126_6: Check131_6: YesCheck132_6: Text109_15: Text1091_15: Text1092_15: Text1093_15: Text1094_15: Text1095_15: Text1096_15: Text1097_15: Text1098_15: Text1099_15: Text10910_15: Text10911_15: Text10912_15: Text10913_15: Text10914_15: Text10915_15: Text10916_15: Text10917_15: Text10918_15: Text10919_15: Text10920_15: Text10921_15: Text10922_15: Text10923_15: Text10924_15: Text10925_15: Text10926_15: Text10927_15: Text10928_15: Text10929_15: Text10930_15: Text10931_15: Text10932_15: Text10933_15: Text10934_15: Text10935_15: Text10936_15: Text10937_15: Text10938_15: Text10939_15: Text10940_15: Text10941_15: Text10942_15: Text10943_15: Text10944_15: Text10945_15: Text10946_15: Text10947_15: Text10948_15: Text10949_15: Text10950_15: Text10951_15: Text10952_15: Text10953_15: page141: 15Text_pages_11: 1989Text_pages_12: DenmarkCheck_new_brother_1: YesCheck_new_brother_2: Check_new_brother_5: Check_new_brother_3: Check_new_brother_4: Text_pages_13: 170Text_pages_62: 68Combo Box_brother_eye: BrownCombo Box_brother_hair: RedCheck_new_brother_6: Check_new_brother_10: Check_new_brother_14: Check_new_brother_18: YesCheck_new_brother_7: Check_new_brother_11: YesCheck_new_brother_15: Check_new_brother_8: YesCheck_new_brother_12: Check_new_brother_16: Check_new_brother_19: Check_new_brother_9: Check_new_brother_13: YesCheck_new_brother_17: Check_new_brother_20: Text_pages_14: Check_new_brother_21: Check_new_brother_22: YesCheck_new_brother_23: Check_new_brother_24: Check_new_brother_25: Check_new_brother_26: YesCheck_new_brother_27: Check_new_brother_28: Check_new_brother_29: Check_new_brother_30: Check_new_brother_31: Check_new_brother_32: Check_new_brother_33: Check_new_brother_34: Check_new_brother_35: Text_pages_15: Sales manText_pages_16: University studentText_pages_17: Check_new_brother_36: YesCheck_new_brother_37: Text_pages_18: 0Text_pages_19: 0Check_new_brother_38: YesCheck_new_brother_39: Check_new_brother_40: Check_new_brother_41: Check_new_brother_42: Check_new_brother_43: YesCheck_new_brother_44: Check_new_brother_45: Check_new_brother_46: Check_new_brother_47: YesCheck_new_brother_48: Check_new_brother_49: Check_new_brother_50: Check_new_brother_51: Check_new_brother_52: YesCheck_new_brother_53: Check_new_brother_54: Check_new_brother_55: YesCheck_new_brother_56: Check_new_brother_57: Text109_17: Text1091_17: Text1092_17: Text1093_17: Text1094_17: Text1095_17: Text1096_17: Text1097_17: Text1098_17: Text1099_17: Text10910_17: Text10911_17: Text10912_17: Text10913_17: Text10914_17: Text10915_17: Text10916_17: Text10917_17: Text10918_17: Text10919_17: Text10920_17: Text10921_17: Text10922_17: Text10923_17: Text10924_17: Text10925_17: Text10926_17: Text10927_17: Text10928_17: Text10929_17: Text10930_17: Text10931_17: Text10932_17: Text10933_17: Text10934_17: Text10935_17: Text_pages_20: Text10936_17: Text10937_17: Text10938_17: Text10939_17: Text10940_17: Text10941_17: Text10942_17: Text10943_17: Text10944_17: Text10945_17: Text10946_17: Text10947_17: Text10948_17: Text10949_17: Text10950_17: Text10951_17: page151: 16Text_pages_11_1: 1991Text_pages_12_1: DenmarkText_pages_13_1: 191Text_pages_14_1: Text_pages_15_1: marinerText_pages_16_1: mariner educatedText_pages_17_1: Text_pages_18_1: 0Text_pages_19_1: 0Text_pages_20_1: Text_pages_62_1: 85Check_new_brother_1_1: YesCheck_new_brother_2_1: Check_new_brother_3_1: Check_new_brother_4_1: Check_new_brother_5_1: Check_new_brother_6_1: Check_new_brother_7_1: Check_new_brother_8_1: Check_new_brother_9_1: Check_new_brother_10_1: Check_new_brother_11_1: YesCheck_new_brother_12_1: Check_new_brother_13_1: YesCheck_new_brother_14_1: Check_new_brother_15_1: Check_new_brother_16_1: YesCheck_new_brother_17_1: Check_new_brother_18_1: YesCheck_new_brother_19_1: Check_new_brother_20_1: 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1936Text200: DenmarkCheck81_7: YesCheck82_7: Check83_7: Check84_7: Check168_7: Check169_7: Check170_7: Text201a: 168Text201: 55Combo Box1_matgr_3: BrownCombo Box1_mat_grandmother_hair4: BrownCheck85_9: Check86_9: Check87_9: YesCheck88_9: Check89_9: YesCheck90_5: Check91_9: Check92_9: Check93_9: YesCheck94_9: Check95_9: Check96_9: Check97_9: YesCheck98_9: Check99_9: Text202: Check24_10: YesCheck25_10: Check26_10: Check103_9: Check104_9: Check105_9: YesCheck106_9: Check108_9: Check109_9: Check110_9: Check107_9: Check111_9: Check112_9: Check113_9: Check114_9: Text203: checkerText204: Basic schoolingText205: Check115_9: Check116_9: YesCheck117_9: Check118_9: Text206: Check119_9: Check120_9: Check121_9: YesCheck122_9: Check123_9: Check128_9: Check129_9: YesCheck134_9: Check124_9: Check127_9: Check130_9: Check133_9: YesCheck125_9: Check126_9: Check131_9: YesCheck132_9: Text109_18: Text1091_18: Text1092_18: Text1093_18: Text1094_18: Text1095_18: Text1096_18: Text1097_18: Text1098_18: Text1099_18: Text10910_18: Text10911_18: Text10912_18: Text10913_18: Text10914_18: Text10915_18: Text10916_18: Text10917_18: Text10918_18: Text10919_18: Text10920_18: Text10921_18: Text10922_18: Text10923_18: Text10924_18: Text10925_18: Text10926_18: Text10927_18: Text10928_18: Text10929_18: Text10930_18: Text10931_18: Text10932_18: Text10933_18: Text10934_18: Text10935_18: Text10936_18: Text10937_18: Text10938_18: Text10939_18: Text10940_18: Text10941_18: Text10942_18: Text10943_18: Text10944_18: Text10945_18: Text10946_18: Text10947_18: Text10948_18: Text10949_18: Text10950_18: Text10951_18: Text10952_18: Text10953_18: page171: 18Text207: Donor does not have information on this family memberText208: ?Check81_8: YesCheck82_8: Check83_8: Check84_8: Check168_8: Check169_8: Check170_8: Text209: ?Combo Box1_matgrfat3: Combo Box1_mat_grandfather4: Check85_10: Check86_10: Check87_10: Check88_10: Check89_10: Check90_6: Check91_10: Check92_10: Check93_10: Check94_10: Check95_10: Check96_10: Check97_10: Check98_10: Check99_10: Text210: Check24_11: Check25_11: Check26_11: Check103_10: Check104_10: Check105_10: Check106_10: Check108_10: Check109_10: Check110_10: Check107_10: Check111_10: Check112_10: Check113_10: Check114_10: Text211: ?Text212: ?Text213: ?Check115_10: Check116_10: Check117_10: Check118_10: Text214: ca 50-55 yearsCheck119_10: Check120_10: Check121_10: Check122_10: Check123_10: Check128_10: Check129_10: Check134_10: Check124_10: Check127_10: Check130_10: Check133_10: Check125_10: Check126_10: Check131_10: Check132_10: Text109_19: Text1091_19: Text1092_19: Text1093_19: Text1094_19: Text1095_19: Text1096_19: Text1097_19: Text1098_19: Text1099_19: Text10910_19: Text10911_19: Text10912_19: Text10913_19: Text10914_19: Text10915_19: Text10916_19: Text10917_19: Text10918_19: Text10919_19: Text10920_19: Text10921_19: Text10922_19: Text10923_19: Text10924_19: Text10925_19: Text10926_19: Text10927_19: Text10928_19: Text10929_19: Text10930_19: Text10931_19: Text10932_19: 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Text217: 59Combo Box1_matgrmat_3: BrownCombo Box1_pat_grandmother_hair4: RedCheck85_11: Check86_11: Check87_11: YesCheck88_11: Check89_11: YesCheck90_7: Check91_11: Check92_11: Check93_11: Check94_11: YesCheck95_11: Check96_11: Check97_11: YesCheck98_11: Check99_11: Text218: Check24_12: YesCheck25_12: Check26_12: Check103_11: Check104_11: Check105_11: YesCheck106_11: Check108_11: Check109_11: Check110_11: Check107_11: Check111_11: Check112_11: Check113_11: Check114_11: Text219: chefText220: noneText221: Check115_11: Check116_11: Check117_11: YesCheck118_11: Text222: Check119_11: Check120_11: Check121_11: YesCheck122_11: Check123_11: YesCheck128_11: Check129_11: Check134_11: Check124_11: Check127_11: Check130_11: YesCheck133_11: Check125_11: YesCheck126_11: Check131_11: Check132_11: Text109_20: Text1091_20: Text1092_20: Text1093_20: Text1094_20: Text1095_20: Text1096_20: Text1097_20: Text1098_20: Text1099_20: Text10910_20: Text10911_20: Text10912_20: Text10913_20: Text10914_20: Text10915_20: Text10916_20: Text10917_20: Text10918_20: Text10919_20: Text10920_20: Text10921_20: Text10922_20: Text10923_20: Text10924_20: Text10925_20: Text10926_20: Text10927_20: Text10928_20: Text10929_20: Text10930_20: Text10931_20: Text10932_20: Text10933_20: Text10934_20: Text10935_20: Text10936_20: Text10937_20: Text10938_20: Text10939_20: Text10940_20: Text10941_20: Text10942_20: Text10943_20: Text10944_20: Text10945_20: Text10946_20: Text10947_20: Text10948_20: Text10949_20: Text10950_20: Text10951_20: Text10952_20: Text10953_20: page191: 20Text223: Aprx. 1934Text224: ItalyCheck81_10: YesCheck82_10: Check83_10: Check84_10: Check168_10: Check169_10: Check170_10: Text225a: 176Text225: 70Combo Box1_patgrfat_3: BrownCombo Box1_pat_grandfather_hair4: BrownCheck85_12: Check89_12: YesCheck86_12: YesCheck90_8: Check91_12: Check92_12: Check93_12: Check87_12: Check94_12: Check95_12: YesCheck96_12: Check97_12: YesCheck98_12: Check88_12: Check99_12: Text226: Check24_13: YesCheck25_13: Check26_13: Check103_12: Check104_12: Check105_12: YesCheck106_12: Check108_12: Check109_12: Check110_12: Check107_12: Check111_12: Check112_12: Check113_12: Check114_12: Text227: worked in the fieldsText228: noneText229: Check115_12: Check116_12: Check117_12: Check118_12: Text230: dead from lung cancer, aprox. 53 - 55 yearsCheck119_12: YesCheck120_12: Check121_12: Check122_12: Check123_12: YesCheck128_12: Check129_12: Check134_12: Check124_12: Check127_12: YesCheck130_12: Check133_12: Check125_12: Check126_12: YesCheck131_12: Check132_12: Text109_21: Text1091_21: Text1092_21: Text1093_21: Text1094_21: Text1095_21: Text1096_21: Text1097_21: Text1098_21: Text1099_21: Text10910_21: Text10911_21: Text10912_21: Text10913_21: Text10914_21: Text10915_21: Text10916_21: Text10917_21: Text10918_21: Text10919_21: Text10920_21: Text10921_21: Text10922_21: Text10923_21: Text10924_21: Text10925_21: Text10926_21: Text10927_21: Text10928_21: Text10929_21: Text10930_21: Text10931_21: Text10932_21: Text10933_21: Text10934_21: Text10935_21: Text10936_21: Text10937_21: Text10938_21: Text10939_21: Text10940_21: Text10941_21: Text10942_21: Text10943_21: Text10944_21: Text10945_21: Text10946_21: Text10947_21: Text10948_21: Text10949_21: Text10950_21: Text10951_21: Text10952_21: Text10953_21: page201: 21Text_pages_41: 1971Text_pages_42: ItalyCheck_new_pat_aunt_1: YesCheck_new_pat_aunt_2: Check_new_pat_aunt_3: Check_new_pat_aunt_4: Check_new_pat_aunt_5: Check_new_pat_aunt_6: Check_new_pat_aunt_7: Text_pages_43: 158Text_pages_65: 50Combo Box_pat_aunt_eye: BrownCombo Box_pat_aunt_hair: BrownCheck_new_pat_aunt_8: Check_new_pat_aunt_12: Check_new_pat_aunt_16: YesCheck_new_pat_aunt_20: Check_new_pat_aunt_9: Check_new_pat_aunt_13: YesCheck_new_pat_aunt_17: Check_new_pat_aunt_10: Check_new_pat_aunt_14: YesCheck_new_pat_aunt_18: Check_new_pat_aunt_21: Check_new_pat_aunt_11: Check_new_pat_aunt_15: YesCheck_new_pat_aunt_19: Check_new_pat_aunt_22: Text_pages_44: Check_new_pat_aunt_23: 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Text1096_24: Text1097_24: Text1098_24: Text1099_24: Text10910_24: Text10911_24: Text10912_24: Text10913_24: Text10914_24: Text10915_24: Text10916_24: Text10917_24: Text10918_24: Text10919_24: Text10920_24: Text10921_24: Text10922_24: Text10923_24: Text10924_24: Text10925_24: Text10926_24: Text10927_24: Text10928_24: Text10929_24: Text10930_24: Text10931_24: Text10932_24: Text10933_24: Text_pages_45: cleaningText10934_24: Text10935_24: Text10936_24: Text10937_24: Text10938_24: Text10939_24: Text_pages_50: Text10940_24: Text10941_24: Text10942_24: Text10943_24: Text10944_24: Text10945_24: Text10946_24: Text10947_24: Text10948_24: Text10949_24: Text10950_24: Text10951_24: Text10952_24: Text10953_24: Text10954_24: Text10955_24: page211: 22Text_pages_51: 1962Text_pages_52: ItalyCheck_new_pat_uncle_1: YesCheck_new_pat_uncle_2: Check_new_pat_uncle_3: Check_new_pat_uncle_4: Check_new_pat_uncle_5: Check_new_pat_uncle_6: Check_new_pat_uncle_7: Text_pages_53: 165Text_pages_66: 60Combo Box_pat_uncle_eye: BrownCombo Box_pat_uncle_hair: BlackCheck_new_pat_uncle_8: Check_new_pat_uncle_12: Check_new_pat_uncle_16: YesCheck_new_pat_uncle_20: Check_new_pat_uncle_9: Check_new_pat_uncle_13: YesCheck_new_pat_uncle_17: Check_new_pat_uncle_10: Check_new_pat_uncle_14: Check_new_pat_uncle_18: YesCheck_new_pat_uncle_21: Check_new_pat_uncle_11: Check_new_pat_uncle_15: YesCheck_new_pat_uncle_19: Check_new_pat_uncle_22: Text_pages_54: Check_new_pat_uncle_23: YesCheck_new_pat_uncle_24: Check_new_pat_uncle_25: Check_new_pat_uncle_26: Check_new_pat_uncle_27: Check_new_pat_uncle_28: YesCheck_new_pat_uncle_29: Check_new_pat_uncle_30: Check_new_pat_uncle_31: Check_new_pat_uncle_32: Check_new_pat_uncle_33: Check_new_pat_uncle_34: Check_new_pat_uncle_35: Check_new_pat_uncle_36: Check_new_pat_uncle_37: Check_new_pat_uncle_38: Check_new_pat_uncle_39: YesText_pages_58: 0Text_pages_59: 1Check_new_pat_uncle_40: Check_new_pat_uncle_41: YesCheck_new_pat_uncle_42: Check_new_pat_uncle_43: 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Text10937_25: Text10938_25: Text10939_25: Text_pages_60: Text10940_25: Text10941_25: Text10942_25: Text10943_25: Text10944_25: Text10945_25: Text10946_25: Text10947_25: Text10948_25: Text10949_25: Text10950_25: Text10951_25: Text10952_25: Text10953_25: Text10954_25: Text10955_25: page221: 23Text231: kept on my workText232: loyal, "working horse"Text233: active team sportText234: riding horses, footballText235: icehockey, footballText236: noText237: riding horses and the good vibrations about this.Text238: Europe, Dominican Republicdom, MoroccoText239: active vacation with children and family - all inclusive. Text240: The environment, but not when it is raining 3 month. Text242: honest, loyalText243: complete things, I'll take to many jobs.Text244: To help peolple, who have problems having babies.Text245: I'm a family dad, with a family who supports me.Text246: I'm me and I know what I accept. I respected other pople untill something else is proven. Text247: my family and what I have attained with theme.page231: 24