Questions
Personal Information
Talents:
| Voice: | Bass |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | Martial Arts (17 years), Harpist (12 years), Choir through school. My art is my work now as a massage therapist. I have always had an affinity for crystals, minerals, and gemstones. |
Favorite:
| Color | Green, Blue, Orange |
| Food | Seafood, Mushrooms |
| Music | Piano, but also Modern and Classic Rock, Rhythm and Blues, Pop, etc. |
| Animal | Otter |
| Pet | Cat, Lizard |
| Car | Lincoln, Jeep, Mini SUV |
| Movie | Goodfellas, No Time to Die |
| Song | "Under Pressure" |
Goals:
| Academic | I'd like to study Anatomy and Physiology, Marketing, Sales |
| Professional | Own a spa that can mostly operate without me, have a team I travel across USA with teaching Kinetic Chain Release, Make 10k per month |
| Personal | Maintain physical health and vitality, be emotionally/energetically regulated to best serve myself, family, clients and friends. International Travel every 1-3 years, be able to run a 6 minute mile, be able to run for at least 10 miles, live 100 years in good health |
Religion:
| Faith | Other |
| Denomination | Unitarian Universalist |
Languages:
| Speak | English |
Sports:
| Play | Soccer, Tennis, Karate |
| Watch | Football, Soccer, Hockey |
Siblings:
| Are you or any of your siblings twins? Please specify who and if they are fraternal or identical | No |
Academics
Standard Test Score: provide score or denote N/A if not taken
| SAT on scale of | N/A - N/A |
| ACT on scale of | N/A - N/A |
| GRE on scale of | N/A - N/A |
| MCAT on scale of | N/A - N/A |
| LSAT on scale of | N/A - N/A |
| GMAT on scale of | N/A - N/A |
| TOEFL on scale of | N/A - N/A |
| Other on scale of | N/A - N/A |
High School
| Question | Response | on scale of |
| GPA on scale of | 2.5 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | N/A | N/A |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A | N/A |
Subjects Studied:
| Major subjects | Massage Therapy, General Studies |
| Minor subjects | N/A |
Degrees
| Bachelor's | N/A |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | Massage Therapy License, High School Diploma |
Awards & Activities
| High school | Choir, Drama Club, Skiing, Track, Wrestling |
| College | N/A |
| Academic | Licensed Massage Therapist, Certified Global KCR trainer |
| Professional | Deep Tissue/corrective Massage, Kinetic Chain Release |
| Political | N/A |
| Personal | I am very talented at connecting with others and sharing myself authentically |
| Charitable | I am as generous as I can be with strangers and especially friends and family. Will donate occasionally as appropriate. |
| Others | N/A |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Right-Handed |
| Fingers | Long |
Sizes & Measurements
| Neck (inches) | 16 |
| Chest (inches) | 41 |
| Inseam (inches) | 31 |
| Waist (inches) | 37 |
| Sleeve (inches) | 32 |
| Hat size | 7 ΒΌ |
| Shoe size | 12 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single - 1.50/2.25 |
| Astigmatism | No |
| Age started wearing glasses/contacts | 12 |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 12-14 |
Other Physical Aids:
| List | Titanium rod in right femur |
| Reason/cause | Accidental injury |
Facial Features
Eyes:
| Set |
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| Size |
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| Shape |
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| Color |
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| Shade |
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Eyebrows:
| Arch |
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| Thickness |
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| Set |
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Nose:
| Size |
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| Shape |
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| Width |
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| Length |
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| Bridge |
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| Nostril flare |
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Cheekbones:
| Set |
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Mouth:
| Size |
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| Lips |
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| Turn |
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Teeth:
| Size |
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| Set |
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| Gap | No |
| Condition |
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Chin:
| Shape |
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| Prominence |
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| Cleft |
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Ears:
| Size |
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| Set |
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| Angle |
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| Lobe size |
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| Lobe attachment |
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Hair:
| Color at birth |
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| Natural color in adulthood |
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| Shade |
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| Type |
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| Fullness |
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| Texture |
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Skin:
| Tone More about skin tones |
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| Tan ability |
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| Condition |
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Hairline:
| Forehead |
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| Contour |
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Other Facial Features:
| Moles |
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| Freckles |
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| Dimples |
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| Adam's apple |
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Facial Hair
| Thickness |
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| Color |
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| Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Chiropractor |
Donor's Father Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | Doctorate of Chiropractic Medicine |
Donor's Father Religion:
| Faith | Other |
| Denomination | Unitarian Universalist |
Donor's Father Languages:
| Speak | English |
Donor's Father Talents:
| Voice | Bass |
| Instrument | N/A |
| Other | 7th degree Martial Arts, Golf, Fishing |
Donor's Father Physical Information
Body
| Age | 67 |
| Height | 5' 8" |
| Weight | 190 lbs. |
| Hands | Ambidextrous |
Donor's Father Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Light |
| Corrective Lenses | No |
Hair:
| Original hair color | Brown |
| Type | Curly |
Skin:
| Skin Tone More about skin tones | Limestone |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Donor's Mother Personal Information
| Occupation | Advertising Design |
Donor's Mother Education:
| Level | College |
| Degree | Bachelor |
| Subject | Graphic Design |
Donor's Mother Religion:
| Faith | Other |
| Denomination | Unitarian Universalist |
Donor's Mother Languages:
| Speak | English |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument | Flute, Piano, Singing |
| Other | 7th degree Martial Artist, Painting, Drawing |
Donor's Mother Physical Information
Body
| Age | 67 |
| Height | 5' 6" |
| Weight | 175 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Green |
| Eye shade | Medium |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Brown |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Warm ivory |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | Slight |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Age | 32 |
| Height | 5' 11" |
| Weight | 240 lbs. |
| Hands | Left-Handed |
Sibling #1 Personal Information
| Occupation | Plastic Manufacturing Quality Manager |
Education:
| Level | Some college |
| Degree | Associate |
| Subject | Science |
Languages:
| Speak | English |
Talents:
| Voice | Bass |
| Instrument | Flute |
| Other | 4th degree Marial artist, Archer |
Sibling #1 Children:
| # Boys Ages: | 1 - 1 |
| # Girls Ages: | 1 - 3 |
Sibling #1 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Medium |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Brown |
| Type | Curly |
Skin:
| Skin tone More about skin tones | Limestone |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial dimples | Slight |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 61, 57 |
| Education levels for each: | College, College |
| Occupations for each: | Teacher and Financial Advisor, Retail |
Mother's Brothers' Total Children:
| # Boys | 0 |
| # Girls | 0 |
Father's Parents
Father's Father
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | HVAC |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Other |
Father's Mother
Education
| Level | Some college |
| Degree | Not Completed |
| Occupation: | Bookkeeping |
Siblings:
| # Brothers | 2 |
| # Sisters | 3 |
Other:
| Languages | English |
| Religion | Other |
Mother's Parents
Mother's Father
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Artist/Illustrator |
Siblings:
| # Brothers | 1 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Jewish |
Mother's Mother
Education
| Level | College |
| Degree | Bachelor |
| Occupation: | Library Assistant |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
Other:
| Languages | Engish |
| Religion | Other |

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