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:		Saxophone - 5
Other talents:
Years of experience		Well-rounded athlete - since childhood
Favorite:
ColorYellow
FoodVariety of sandwiches
MusicClassic rock
AnimalHawk
PetDog
CarPorsche 911
MovieA Few Good Men
Song"Stairway to Heaven"
PlayA Midsummer Night's Dream
Goals:
AcademicMBA
Professional Successful business owner
PersonalLive a happy, healthy life
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish, some Spanish
ReadEnglish, some Spanish
WriteEnglish
Sports:
PlayBasketball, Baseball, Football, Golf, Tennis, Racquetball
WatchBasketball, Baseball, Football, Golf, Tennis
Siblings:
# Brothers0
# 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		N/A
ACT
on scale of		27 - 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 		4.04.0
College
Question Response on scale of
GPA
on scale of 		2.314.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsSupply Chain Management
Minor subjectsN/A
Degrees
Bachelor'sBBA/Supply Chain Management
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolNational Honor Society; Top 3% of class; Varsity baseball, basketball and football
CollegeTwo-time Intramural Champion, Fraternity leadership
AcademicN/A
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

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)42
Inseam (inches)30
Waist (inches)33
Sleeve (inches)33
Wrist (inches)7
Hat size7.5
Shoe size11

Physical Aids

Eyes:
Vision Far-Sighted
GlassesSingle - (Only for computer use, at work)
AstigmatismYes
Age started wearing glasses/contacts32
Laser surgery?No
Dental:
DeviceRetainer
ReasonAccident
Age range during use10-present
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
OccupationDirector of Maintenance (retired)
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Baptist
Primary ethnic origins:English
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
Age59
Height5'9"
Weight160 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
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 ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Retailer
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Baptist
Primary ethnic origins:German, Native American
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
Age55
Height5'6"
Weight155 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Far-Sighted
GlassesSingle - (reading glasses)
AstigmatismNo
Age started wearing glasses/contacts
yrs		25
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeCurly
Skin:
Skin ToneMedL
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 siblingHalf
Sibling #1 Physical Information
Body
SexFemale
Age37
Height5'5"
Weight115 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Business Owner
Education:
LevelCollege
DegreeBachelor
SubjectLiberal Arts
Religion:
Faith Christian
Denomination Baptist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		3 - 12, 8, 6
# Girls
Ages:		1 - 2
Sibling #1 Facial Features
Eyes:
Eye colorBlue
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 lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:33 (deceased)
Education levels for each:High school
Occupations for each:Business Owner
Religions for each:None
Father's Brothers' Total Children:
# Boys2
# Girls0
Father's Sisters
# of Sisters3
Ages of Sisters:66, 63, 61
Education levels for each:Bachelor's, High school, High school
Occupations for each:Nurse, Boot Maker, School Administrator
Religions for each:Christian (all)
Father's Sisters' Total Children:
# Boys3
# Girls3
Mother's Siblings
Mother's Sisters
# Sisters2
Ages of Sisters:62, 58
Education levels for each:High school, High school
Occupations for each:Manufacturing, Administration
Religions for each:None, Baptist
Mother's Sisters' Total Children:
# Boys0
# Girls1
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Salesman
Primary ethnic origins:English
Siblings:
# Brothers4
# Sisters6
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Retail
Primary ethnic origins:English
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Military
Primary ethnic origins:Native American (Cherokee)
Siblings:
# Brothers1
# Sisters3
Other:
LanguagesEnglish
ReligionBaptist
Military
BranchArmy Reserve
RankUnknown
Service Yrs25
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Cafeteria Worker
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0