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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:		Violin, Guitar, Bass Guitar - 6, 4, 2
Other talents:
Years of experience		Track & Field runner - 2
Favorite:
ColorBlack
FoodBurgers
MusicAlternative rock
AnimalWhales
PetReptile (Snake)
CarJeep
MovieSixteen Candles
Song"Contagious" by Night Riots
PlayThe Wiz
Goals:
AcademicExcel in biology and chemistry
Professional Be a child psychiatrist
PersonalBe happy
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayTrack, Football, Frisbee
WatchNone
Siblings:
# Brothers2
# Sisters0
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		1510 - out of 2400
ACT
on scale of		26 - out of 36
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 		5.0266.0
College
Question Response on scale of
GPA
on scale of 		3.464.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsBiology
Minor subjectsN/A
Degrees
Bachelor'sPursuing BS/Biology
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolOrchestra, Orchestra booster club leadership, MVP Track freshman year
CollegeDean's List for two semesters, Scholarships based on my involvement in community theatre
AcademicMember of several school organizations
Professional N/A
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

Served in militaryNo
BranchN/A
RankN/A
Years of service0

Physical Features

HandsLeft-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14
Chest (inches)33
Inseam (inches)32
Waist (inches)32
Sleeve (inches)32
Wrist (inches)7
Hat size7
Shoe size11

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use13-15
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
OccupationStage Builder
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Presbyterian
Primary ethnic origins:Danish, Mexican
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age43
Height6'0"
Weight200 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeCurly
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 Accountant
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectAccounting
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Mexican
Donor's Mother Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age42
Height5'1"
Weight200 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 Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
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
SexMale
Age18
Height5'8"
Weight200 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Musician, Student
Education:
LevelCollege
DegreePursuing
SubjectMusic Education
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Clarinet - 7
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
TypeCurly
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 Sibling #2
Full/Half siblingHalf
Sibling #2 Physical Information
Body
SexMale
Age5
Height3'0"
Weight50 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectPre K
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish
WriteEnglish
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 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
Father's Siblings
Father's Sisters
# of Sisters1
Ages of Sisters:31
Education levels for each:Some college
Occupations for each:Seamstress
Religions for each:Presbyterian
Father's Sisters' Total Children:
# Boys1
# Girls0
Mother's Siblings
Mother's Sisters
# Sisters1
Ages of Sisters:32
Education levels for each:College
Occupations for each:Pharmacy Technician
Religions for each:Catholic
Mother's Sisters' Total Children:
# Boys0
# Girls1
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Logistics
Primary ethnic origins:Mexican
Siblings:
# Brothers2
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Danish
Siblings:
# Brothers0
# Sisters3
Other:
LanguagesEnglish
ReligionPresbyterian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGrade school
DegreeNone
SubjectGeneral Studies
Occupation:Laborer
Primary ethnic origins:Mexican
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelGrade school
DegreeNone
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Mexican
Siblings:
# Brothers2
# Sisters3
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0