The document is a genogram showing a family history of diabetes, hypertension, heart attacks, heart disease and smoking. Key members include a 65-year-old diabetic male patient, his 68-year-old hypertensive father who had a heart attack, a 50-year-old relative with heart disease who smokes, a 46-year-old female relative with hypertension, and a 40-year-old male relative who smokes.