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 - 10
Other talents:
Years of experience		Art - 16
Favorite:
ColorIndigo
FoodThai Green Curry
MusicBoards of Canada, Max Richter
AnimalOwl
PetCat
CarNone
MovieLa Danza de la Realidad
Song"Stone in Focus" by Aphex Twin
PlayWaiting for Godot by Samuel Beckett
Goals:
AcademicReturn to school for a master's degree in counseling and therapy
Professional Continue to work as an artist. Begin work as a therapist
PersonalTo continue growing and learning
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayNone
WatchNone
Siblings:
# Brothers0
# Sisters1
Are you a twin?
Identical or fraternal?		No
# of twins in your familyN/A
# Identical sets0
# Fraternal sets0

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		Taken, score not remembered
ACT
on scale of		Taken, score not remembered
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 		3.04.0
College
Question Response on scale of
GPA
on scale of 		3.404.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsFine Arts
Minor subjectsN/A
Degrees
Bachelor'sBFA/Integrated Studio Arts
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolNA
CollegeGraduation commencement speaker
AcademicDean's List
Professional NA
Political NA
Personal 500-Hour Yoga Teacher Certification
Charitable NA
OthersNA

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14.5
Chest (inches)35
Inseam (inches)32
Waist (inches)32
Sleeve (inches)32
Wrist (inches)6
Hat size7.25
Shoe size10

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
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
OccupationComputer Programmer
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectComputer Programming
Donor's Father Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Irish, Scottish, Dutch
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
Age62
Height5'11"
Weight260 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		25
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Physical Therapist Assistant
Donor's Mother Education:
LevelSome college
DegreeNot Completed
SubjectUndeclared
Donor's Mother Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Irish
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
Age62
Height5'6"
Weight160 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		52
Hair:
Original hair color Brown
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age29
Height5'9"
Weight135 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Human Resources
Education:
LevelCollege
DegreeBachelor
SubjectEducation, Business
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceAlto
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 colorBrown
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts28
Hair:
Original hair color Red
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers3
Ages of Brothers:67, 65, 63
Education levels for each:College, Some college, College
Occupations for each:Business Owner, Commercial Driver, Entrepreneur
Religions for each:Christian (all)
Father's Brothers' Total Children:
# Boys6
# Girls4
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:64, 59
Education levels for each:High school, High school
Occupations for each:Unknown (half sibling), Construction Supervisor
Religions for each:Unknown, Christian
Mother's Brothers' Total Children:
# Boys2
# Girls1
Mother's Sisters
# Sisters2
Ages of Sisters:59, 57
Education levels for each:College, High school
Occupations for each:Logistics Analyst, Insurance Adjudicator
Religions for each:Christian, Christian
Mother's Sisters' Total Children:
# Boys2
# Girls1
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectEducation
Occupation:Teacher
Primary ethnic origins:Irish, Scottish, Dutch
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelCollege
DegreeBachelor's
SubjectEducation
Occupation:Teacher
Primary ethnic origins:Irish
Siblings:
# Brothers1
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Mechanic
Primary ethnic origins:Irish
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesEnglish
ReligionAgnostic
Military
BranchNavy
RankUnknown
Service Yrs5
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Irish
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0