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Jan 21, 2007 03:11



Name: Alex Rider

Gender: Male

Age, or approximate age of human body: 14

Length of time on island (in months): 0

Date and Place of Origin: Chelsea, London, England, UK, Earth. Or technically the Ark Angel Space Station which was in orbit of Earth. 2001 DOB 13/01/87

Were you human before coming to TR: Yes

Living Situation

Where on the island do you live? Compound dormitory, ground floor

Number of roommates: 1

Do you live with children under the age of 18: Yes. And I am one and my roommate is also.

General Health
Do you consider yourself healthy now: Yes

What, if any, medications did you take regularly before coming to Tabula Rasa: I seem to keep getting in situations that require painkillers but I'm hoping to stop that.

Are you allergic to any medications: No

Have you experienced any new health problems since arriving? If so, please describe: No

When was your last tetanus shot? Probably with the rest of my shots at a year old.

Were you vaccinated for smallpox as a child? (If you were, you should have a small, round scar on your upper arm.) Yes

What is your blood type, if known: A+

Have you had any of the following:
Hepatitis
Measles
Meningitis
Mumps
Rheumatic fever
Rubella (German measles)
Scarlet fever
Smallpox
Whooping cough
Yellow fever
Chicken pox
Tuberculosis
Malaria
Typhoid

Yes to Chicken Pox and Mumps, no to the rest.

If you contracted other diseases before arriving, that are not on this list, please list them, and their symptoms: I've had colds and flu before.

To the best of your knowledge, have you ever been exposed to any of the following:

Herpes Simplex 1 (cold sores)
Herpes Simplex 2 (genital herpes)
Human Papilloma Virus
Cytomegalovirus (CMV)
Human Immunodeficiency Virus (HIV),
Gonorrhea
Chlamydia
Syphilis
Mononucleosis

No.

Are there other health conditions that you want the clinic staff to know about?

Nope.

For Those Who Can Bear Children

n/a

Family History

Do you have any blood relatives here, if yes, list names: I don't have any blood relatives at all.

Do any of the following run in your immediate family (mother, father, sisters, brothers):

Heart attack
Stroke
High blood pressure
Low blood pressure
Anemia (iron deficiency or other):
Cancer
Diabetes
Congenital heart defect

I apparently am fighting an inherited attraction to a ridiculous line of work.

Lifestyle

Do you smoke: No.
Tobacco, or marijuana:
If yes, how often:

Do you drink alcohol? Megolmaniac's keep offering it to me, I've taken this as a bad sign and avoided it so far.
If yes, how much:

Do you drink caffinated beverages such as coffee or tea? Yes. Tea and Coffee.
If yes, how much: 1-2 cups a day.

Mental Health (If you answer yes to any of these, please list symptoms, dates and treatments.)

Have you experienced a serious head injury, either on the island or before: No.

Have you been treated for depression with medication or herbs: No.

Have you experienced manic episodes: No

Have you had unexplained mood swings: No.

Have you been diagnosed with serious mental illness, such as schizophrenia, multiple personality disorder, obsessive-compulsive disorder, or psychosis:

No. but it possibly was only a matter of time if left to MI6's devices.
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