Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Donor's Siblings
Father's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Tenor
Instrument:
Years of experience:		Trumpet - 3
Other talents:
Years of experience		None
Favorite:
ColorGreen
FoodLasagna
MusicClassic Rock
AnimalJaguar
PetDog
CarCorvette L82
MovieOld School
Song"LA Woman"
PlayCabaret
Goals:
AcademicGet a college degree
Professional Become a CPA and a CEO
PersonalBe happy and raise a family
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish, French
ReadEnglish, Spanish
WriteEnglish, Spanish
Sports:
PlayRugby
WatchFootball, Basketball, Rugby, Boxing, Soccer, Olympics
Siblings:
# Brothers1
# Sisters1
Are you a twin?
Identical or fraternal?		No
# of twins in your family0
# Identical sets0
# Fraternal sets0

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		1800 - out of 2400
ACT
on scale of		N/A
GRE
on scale of		N/A
MCAT
on scale of		N/A
LSAT
on scale of		N/A
GMAT
on scale of		N/A
TOEFL
on scale of		N/A
Other
on scale of		N/A
High School
Question Response on scale of
GPA
on scale of 		2.74.0
College
Question Response on scale of
GPA
on scale of 		2.444.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsAccounting
Minor subjectsN/A
Degrees
Bachelor'sPursuing BA/Accounting, minors in Marketing and Economics
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolGraduated with honors; Most Improved Player on football and rugby teams; MVP on rugby team
CollegeN/A
AcademicHonor Roll
Professional N/A
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

Served in militaryYes
BranchArmy
RankPV2
Years of service1.5

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14.5
Chest (inches)43
Inseam (inches)33.5
Waist (inches)37
Sleeve (inches)33.5
Wrist (inches)7
Hat size7
Shoe size9.5

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use14-15
Other Physical Aids:
ListNone
Reason/causeN/A

Facial Features

Eyes:
Set
  • NarrowNarrow
  • AverageAverage
  • WideWide
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Shape
  • AlmondAlmond
  • OvalOval
  • RoundRound
Color
  • Black
  • Blue
  • Green
  • Hazel
  • Brown
Shade
  • Light
  • Medium
  • Dark
Eyebrows:
Arch
  • Flat
  • Medium
  • High
Thickness
  • ThinThin
  • AverageAverage
  • ThickThick
Set
  • Narrow
  • Average
  • Wide
Nose:
Size
  • Small
  • Medium
  • Large
Shape
  • RoundRound
  • StraightStraight
  • WideWide
Width
  • Narrow
  • Average
  • Wide
Length
  • Short
  • Average
  • Long
Bridge
  • ConvexConvex
  • StraightStraight
  • ConcaveConcave
Nostril flare
  • Small
  • Average
  • Wide
Septum
  • Thin
  • Average
  • Thick
Cheekbones:
Set
  • Low
  • Average
  • High
Prominence
  • Slight
  • Medium
  • Strong
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
Condition
  • Poor
  • Fair
  • Good
Chin:
Shape
  • RoundRound
  • OvalOval
  • SquareSquare
Prominence
  • Slight
  • Average
  • Strong
Cleft
  • NoneNone
  • SlightSlight
  • StrongStrong
Ears:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Set
  • Low
  • Average
  • High
Angle
  • FlatFlat
  • AverageAverage
  • AcuteAcute
Lobe size
  • Small
  • Medium
  • Large
Lobe attachment
  • DetachedDetached
  • AttachedAttached
Hair:
Color at birth
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Natural color in adulthood
  • Blond
  • Brown
  • Auburn
  • Red
  • Black
  • grey
Shade
  • Light
  • Medium
  • Dark
Type
  • Straight
  • Wavy
  • Curly
Fullness
  • Thin
  • Medium
  • Thick
Texture
  • Fine
  • Coarse
  • Medium
Skin:
Tone
  • Light
  • MedL
  • Med
  • MedDk
  • Dark
Tan ability
  • None
  • Slight
  • Medium
  • Easy
Condition
  • Oily
  • Medium
  • Combination
  • Dry
Hairline:
Forehead
  • Low
  • Average
  • High
Contour
  • Straight
  • Slight Curve
  • Widow Peak
Other Facial Features:
Moles
  • None
  • One
  • Several
Freckles
  • None
  • Several
  • Moderate
  • Numerous
Dimples
  • None
  • Slight
  • Medium
  • Deep
Adam's apple
  • Slight
  • Medium
  • Strong
Facial Hair
Thickness
  • Thin
  • Medium
  • Dense
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationGovernment Budget Proposals
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectFinance
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Peruvian, Italian
Donor's Father Languages:
SpeakEnglish, Spanish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		Bass Clarinet - 6
Other
yrs experience		None
Donor's Father Physical Information
Body
Age46
Height5'6"
Weight165 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Homemaker
Donor's Mother Education:
LevelSome college
DegreePursuing
SubjectNursing
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:French, Italian
Donor's Mother Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Violin - 2
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age43
Height5'2"
Weight135 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age13
Height4'9"
Weight70 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Flute - 4
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexMale
Age3
Height3'2"
Weight36 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Toddler
Education:
LevelGrade school - (Preschool)
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Auburn
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:44
Education levels for each:Bachelor's
Occupations for each:Government Worker
Religions for each:Catholic
Father's Brothers' Total Children:
# Boys2
# Girls1
Father's Sisters
# of Sisters1
Ages of Sisters:42
Education levels for each:Bachelor's
Occupations for each:Accountant
Religions for each:Catholic
Father's Sisters' Total Children:
# Boys2
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:42 (deceased), 40
Education levels for each:High school, Bachelor's
Occupations for each:Personal Trainer, Business Executive
Religions for each:Catholic, Catholic
Mother's Brothers' Total Children:
# Boys1
# Girls0
Mother's Sisters
# Sisters3
Ages of Sisters:49, 46, 44
Education levels for each:PHD, Bachelor's, Bachelor's
Occupations for each:Teacher, Nurse, Homemaker
Religions for each:All are Catholic
Mother's Sisters' Total Children:
# Boys3
# Girls3
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectEngineering
Occupation:Non-profit organization Executive
Primary ethnic origins:Peruvian
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelCollege
DegreeAssociate's
SubjectBusiness Management
Occupation:Insurance
Primary ethnic origins:Peruvian, Italian
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelCollege
DegreeAssociate's
SubjectArchitecture
Occupation:Construction Worker
Primary ethnic origins:Italian
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesSpanish, English
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelSome college
DegreeNone
SubjectNursing
Occupation:Homemaker
Primary ethnic origins:French
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesSpanish, French
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0