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:Baritone
Instrument:
Years of experience:		Guitar - 9
Other talents:
Years of experience		Gymnastics - 5
Favorite:
ColorBlue
FoodBuffalo chicken pizza
MusicHouse, Hip hop, Ambient, Experimental
AnimalHedgehog
PetHedgehog
CarHonda Accord 89
MovieOldboy
Song"Lite Spots" by Kaytranada
PlayThe Glass Menagerie
Goals:
AcademicMedical school
Professional Physician
PersonalLearn Polish
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayNone
WatchE-Sports
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		30 - 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 		3.64.0
College
Question Response on scale of
GPA
on scale of 		3.244.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsTheatre
Minor subjectsN/A
Degrees
Bachelor'sBA/Theatre Arts
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolComedy competition finalist, Art Student of the Month
CollegeN/A
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 serviceN/A

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14
Chest (inches)35
Inseam (inches)32
Waist (inches)30
Sleeve (inches)34
Wrist (inches)7
Hat size7.38
Shoe size9.5

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts13
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use12-13
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
OccupationCable Technician
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectFinance
Donor's Father Religion:
Faith None
Denomination N/A
Primary ethnic origins:Polish
Donor's Father Languages:
SpeakEnglish, Polish
ReadEnglish, Polish
WriteEnglish, Polish
Donor's Father Talents:
VoiceBass
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age55
Height5'10"
Weight186 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		18
Hair:
Original hair color Brown
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 serviceN/A
Donor's Mother Personal Information
Occupation Postal Worker
Donor's Mother Education:
LevelSome college
DegreeNot Completed
SubjectFine Arts
Donor's Mother Religion:
Faith None
Denomination N/A
Primary ethnic origins:Polish
Donor's Mother Languages:
SpeakEnglish, Polish
ReadEnglish, Polish
WriteEnglish, Polish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age58
Height5'6"
Weight146 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
Hair:
Original hair color Brown
If gray, age turned gray43
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age26
Height5'8"
Weight153 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Nurse
Education:
LevelCollege
DegreeBachelor
SubjectNursing
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeLight
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts10
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:57
Education levels for each:College
Occupations for each:Computer Technician
Religions for each:Catholic
Father's Brothers' Total Children:
# Boys1
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:60
Education levels for each:College
Occupations for each:Teacher
Religions for each:Catholic
Mother's Brothers' Total Children:
# Boys1
# Girls1
Mother's Sisters
# Sisters2
Ages of Sisters:70, 61
Education levels for each:High school, High school
Occupations for each:Homemaker, Homemaker
Religions for each:Catholic, Catholic
Mother's Sisters' Total Children:
# Boys1
# Girls2
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Mason
Primary ethnic origins:Polish
Siblings:
# Brothers3
# Sisters1
Other:
LanguagesPolish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Polish
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesPolish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Farmer
Primary ethnic origins:Polish
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesPolish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Polish
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesPolish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A