Course Summary
alsas123456
doc.docName: me
My Family Health Tree
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Grandpa |
Grandma |
, obesity
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Aunt ,obesity |
Uncle |
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Aunt, kidney Dis |
Uncle |
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Aunt |
Uncle |
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Aunt |
Uncle |
Mom
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Grandpa |
Grandma |
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Aunt |
Uncle highp |
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Aunt |
Uncle |
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Aunt |
Uncle |
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Aunt, obesity |
Uncle |
Dad high-pressure
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Brother obesity |
Brother |
Me obesity |
Sister |
Sister |
With the help of your family, fill in the boxes with the health conditions of your blood relatives. Be sure to complete both sides of the family. Fill in as much as you can. Be sure to report diseases such as heart disease, stroke, diabetes, or cancer (especially colon, breast, or ovarian cancers). By knowing which health conditions and diseases are in your family, you can make the right healthy choices to help prevent those conditions from being passed down to you. Post your completed family tree on the refrigerator to remind you and your family of the importance of making healthy choices.
Record whether you have any of the following 6 conditions in the table below: heart disease, stroke, diabetes, colon cancer, breast cancer, and/or ovarian cancer. These diseases are tracked because they are common and there are very good information about how to avoid them. In addition, list any other diseases or conditions you have. Once you have completed your history, enter the information for the rest of your family.
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Family (Blood related only) |
Relative’s Name |
Relationship to you |
Twin? (Y/N) |
Health Condition |
Age at diagnosis |
Living? (Y/N) |
Age at Death |
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Immediate (Brothers, sister, parents, children) |
Your name |
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no |
good |
10 |
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has |
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no |
good |
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Y |
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Hus8 |
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no |
good |
8-9 |
Y |
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Z6 |
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no |
great |
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Y |
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Kzz5 |
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no |
great |
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Y |
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Mother’s (her father, her mother, her sisters, her brothers) |
My mother |
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no |
great |
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Y |
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Her father |
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no |
great |
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Y |
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Her mother |
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no |
great |
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Y |
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Her sister |
|
no |
bad |
27 |
N |
55 |
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Her Sis 2 |
|
no |
Average |
25 |
Y |
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Her Sis 3 |
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no |
Average |
22 |
Y |
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Her brother |
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no |
great |
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Y |
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Her br-2 |
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no |
great |
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Y |
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Her bro-3 |
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no |
great |
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N |
51 |
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Father’s (his father, his mother, his sisters, his brothers) |
father |
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no |
Highpressure |
40 |
Y |
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HIS F |
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no |
great |
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N |
60 |
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HIS mothe |
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no |
Obesity |
30 |
N |
71 |
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HIS SIS |
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no |
Obesity |
15 |
Y |
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HIS SIS2 |
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no |
great |
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Y |
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s |
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no |
great |
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Y |
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His b-1 |
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no |
great |
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Y |
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His B-2 |
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no |
great |
|
n |
60 |
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His B-3 |
|
no |
highpressure |
25 |
N |
55 |
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