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:		Guitar - 7
Other talents:
Years of experience		I can solve a Rubik's Cube in under a minute
Favorite:
ColorBlue
FoodSteak
MusicClassic Rock
AnimalWolf
PetDog
Car1969 Corvette Stingray
MovieGood Will Hunting
Song"Iris" by The Goo Goo Dolls
PlayHamlet
Goals:
AcademicPhD in American Political Thought
Professional Investment banker
PersonalFinish an Ironman
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish, French
WriteEnglish, French
Sports:
PlayWrestling, Swimming, Cycling, Running
WatchFootball, Basketball
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		N/A
ACT
on scale of		31 - 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 		4.7 weighted, 3.9 unweighted4.0
College
Question Response on scale of
GPA
on scale of 		3.554.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsEnglish Literature
Minor subjectsPolitical Science
Degrees
Bachelor'sPursuing BA/English
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolValedictorian, Student senate
CollegeN/A
AcademicAcademic Excellence scholarship, Book club
Professional Receiving military training in college, will graduate as a Marine 2nd Lieutenant
Political N/A
Personal Weightlifting, Bowling, Triathlons, Guitar
Charitable UNICEF, March of Dimes
OthersN/A

Military

Served in militaryYes
BranchCurrently in a Marine training program in college
RankN/A
Years of serviceN/A

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)40
Inseam (inches)30
Waist (inches)29
Sleeve (inches)30
Wrist (inches)6.5
Hat size6.88
Shoe size9

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts16
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use13-14
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
OccupationCustomer Service Manager
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Spanish, German
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
Age43
Height5'7"
Weight185 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		42
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
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 Daycare Director
Donor's Mother Education:
LevelSome college
DegreeNot Completed
SubjectMusic
Donor's Mother Religion:
Faith Christian
Denomination Protestant
Primary ethnic origins:Dutch, English
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		Violin - 25
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age43
Height5'5"
Weight150 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts
yrs		20
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionOily
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesNone
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 siblingHalf
Sibling #1 Physical Information
Body
SexMale
Age14
Height5'6"
Weight130 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Protestant
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Tuba - 3
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #2
Full/Half siblingHalf
Sibling #2 Physical Information
Body
SexMale
Age7
Height3'6"
Weight60 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Protestant
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
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 colorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:19 (deceased), 47
Education levels for each:High school, High school
Occupations for each:Student, Mechanic
Religions for each:Catholic, Protestant
Father's Brothers' Total Children:
# BoysN/A
# Girls1
Father's Sisters
# of Sisters1
Ages of Sisters:39 (deceased)
Education levels for each:High school
Occupations for each:Cashier
Religions for each:Catholic
Father's Sisters' Total Children:
# BoysN/A
# GirlsN/A
Mother's Siblings
Mother's Sisters
# Sisters1
Ages of Sisters:45
Education levels for each:High school
Occupations for each:Daycare Director
Religions for each:Protestant
Mother's Sisters' Total Children:
# BoysN/A
# Girls2
Father's Parents
Father's Father
Education
LevelGraduate
DegreeJD
SubjectLaw
Occupation:Lawyer
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionProtestant
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Manager (retired)
Primary ethnic origins:Spanish
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish, Spanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGraduate
DegreeMaster's
SubjectHistory
Occupation:Government Worker
Primary ethnic origins:English
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionProtestant
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelGraduate
DegreePhD
SubjectPsychology
Occupation:Psychologist
Primary ethnic origins:Dutch
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish
ReligionProtestant
Military
BranchN/A
RankN/A
Service Yrs0