Please include parents, siblings, aunts, uncles, grandparents, and children. Examples include, but are not limited to: cancer, heart disease, diabetes, autoimmune disorders, neurological conditions, inherited or genetic disorders, anxiety, depression, bipolar disorder, ADHD, OCD, autism spectrum disorder, eating disorders, schizophrenia, personality disorders, alcoholism or substance use disorder, suicide attempts, psychiatric hospitalization, infertility, pregnancy complications, birth defects, or chronic illness.
For each condition, please list whether it applies to you or a close biological relative.