Questions

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

Personal Information

Talents:
Voice:Tenor
Instrument:
Years of experience:		Clarinet - 4
Other talents:
Years of experience		None
Favorite:
ColorBlue
FoodSushi, Breakfast
MusicClassic Rock, Jazz, Country
AnimalDogs, Otters
PetDog
CarAston Martin
MovieBlazing Saddles
Song"Don't Stop Believin'"
PlayShakespeare, Musicals
Goals:
AcademicMaster's degree in Public Administration/Public Policy
Professional Promotion in current job, Work in specific fields
PersonalCollect vintage comics, sports memorabilia and historical memorabilia
Religion:
Faith Jewish
Denomination Reform
Languages:
SpeakEnglish, some French
ReadEnglish
WriteEnglish
Sports:
PlayRowing, Football, Baseball/Softball, Lacrosse
WatchFootball, Baseball, Basketball, Soccer
Siblings:
# Brothers0
# Sisters0
Are you a twin?
Identical or fraternal?		No
# of twins in your familyN/A
# Identical setsN/A
# Fraternal setsN/A

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		1190 - out of 1600
ACT
on scale of		33 - out of 36
GRE
on scale of		N/A
MCAT
on scale of		N/A
LSAT
on scale of		149 - out of 180
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 		3.24.0
College
Question Response on scale of
GPA
on scale of 		3.124.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsPolitical Science
Minor subjectsCriminology, Mathematics
Degrees
Bachelor'sBA/Political Science
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolVarsity letter for football
CollegeVarsity letter for rowing
AcademicHonor Roll, Dean's List
Professional Law Enforcement, Veteran
Political N/A
Personal Eagle Scout, Avid comic book collector
Charitable N/A
OthersDoting father of infant twins

Military

Served in militaryYes
BranchUS Army
RankSpecialist/E-4
Years of service5.5

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)16.75
Chest (inches)43.5
Inseam (inches)34
Waist (inches)40
Sleeve (inches)40.5
Wrist (inches)7.75
Hat size7.5
Shoe size14

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle - (not all the time)
AstigmatismYes
Age started wearing glasses/contacts9
Laser surgery?Yes
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use7-15
Other Physical Aids:
ListSurgical screws
Reason/causeBroken femur repair

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
OccupationAttorney
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectUS History, Law
Donor's Father Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:Dutch, German, Scottish
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age60 - deceased
Height6'4"
Weight245 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Brown
If gray, age turned gray45
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 Mother Personal Information
Occupation Attorney
Donor's Mother Education:
LevelGraduate school
DegreeDoctorate
SubjectLaw
Donor's Mother Religion:
Faith Jewish
Denomination Reform
Primary ethnic origins:Romanian, Latvian (Jewish)
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age64
Height5'8"
Weight165 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		14
Hair:
Original hair color Brown
If gray, age turned gray50
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
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:64
Education levels for each:Doctorate
Occupations for each:Attorney
Religions for each:Lutheran
Father's Brothers' Total Children:
# Boys0
# Girls3
Father's Sisters
# of Sisters2
Ages of Sisters:62, 58
Education levels for each:MD, Master's
Occupations for each:Neurosurgeon, Teacher
Religions for each:Lutheran, Lutheran
Father's Sisters' Total Children:
# Boys0
# Girls0
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:66
Education levels for each:Doctorate
Occupations for each:Attorney
Religions for each:Jewish
Mother's Brothers' Total Children:
# Boys1
# Girls0
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Line Maintenance Supervisor
Primary ethnic origins:Scottish
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Dutch, German
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGraduate
DegreeMaster's
SubjectEducation
Occupation:Teacher
Primary ethnic origins:Latvian (Jewish)
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish, Spanish
ReligionJewish
Military
BranchArmy
RankCorporal
Service Yrs3.5
Mother's Mother
Education
LevelGraduate
DegreeMaster's
SubjectEnglish/Education
Occupation:Teacher
Primary ethnic origins:Romanian (Jewish)
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish, French
ReligionJewish
Military
BranchN/A
RankN/A
Service Yrs0