Reaction Paper on Epigenetics

Dr. Oz’s Transformation Nation – Million dollar YOU WeightWatchers

Family History Worksheet

How to Use This Worksheet 1. Talk to your family – your parents and siblings, primarily – about their health history. If

your siblings or parents are unavailable, ask your next closest relatives: first cousins, aunts and uncles, and grandparents.

2. Check the boxes next to the conditions that a family member has. If more than one family member has the condition, note how many in the box.

3. Return to Sharecare.com to enter your information. Keep this worksheet and take it with you to your doctor.

Condition Parent Siblings Other relative

Alzheimer’s disease

Allergies

Anemia

Anesthesia issues

Arthritis

Arthritis, Rheumatoid

Asthma

Bleeding issues

Cancer, Breast

Cancer, Colon

Cancer, Lung

Cancer, Skin

Cancer, Prostate

Cancer, Ovarian

Cancer (other)

Depression

Diabetes, Type 1 (childhood onset)

Diabetes, Type 2 (Adult onset)

Epilepsy (seizures)

Eye conditions

Glaucoma

Hearing problems

Heart disease, heart attack, stroke

Hight blood pressure/hypertension

Hight Cholesterol

Kidney disease

Lupus

Migraines

Osteoporosis

Thyroid disorder

Tuberculosis

Other: