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:		None
Other talents:
Years of experience		None
Favorite:
ColorBlue
FoodFettuccine Alfredo
MusicAlternative rock
AnimalDog
PetDog
CarTesla
MovieGood Will Hunting
Song"The Scientist" by Coldplay
PlayThe Book of Mormon
Goals:
AcademicGraduate college
Professional Become an architect
PersonalHave a family of my own
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayBaseball, Football, Ultimate Frisbee
WatchFootball, Basketball, Baseball
Siblings:
# Brothers0
# Sisters3
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		28 - 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 		3.14.0
College
Question Response on scale of
GPA
on scale of 		3.364.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsArchitecture
Minor subjectsN/A
Degrees
Bachelor'sPursuing BA/Architecture
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolPlayed Baseball, Football, and Ultimate Frisbee
CollegeDean's List
AcademicIn high school, made A honor roll senior year and B honor roll junior year
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
FingersLong
Sizes & Measurements
Neck (inches)16
Chest (inches)43
Inseam (inches)34
Waist (inches)33
Sleeve (inches)35.5
Wrist (inches)6.5
Hat size7.25
Shoe size12

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts8
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use14-16
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
OccupationElectrical Inspector
Donor's Father Education:
LevelTrade school
DegreeAssociate
SubjectElectrician
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Irish, Czech, 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
Age56
Height6'0"
Weight185 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
Hair:
Original hair color Brown
If gray, age turned gray52
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Phlebotomist
Donor's Mother Education:
LevelSome college
DegreeOther
SubjectPhlebotomist Certification
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:English, German
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Bass - 8
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age54
Height5'3"
Weight220 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismYes
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
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 siblingHalf
Sibling #1 Physical Information
Body
SexFemale
Age30
Height5'6"
Weight160 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Marketing Manager
Education:
LevelCollege
DegreeBachelor
SubjectMarketing
Religion:
Faith Christian
Denomination Catholic
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 shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts9
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age24
Height5'6"
Weight160 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Nurse
Education:
LevelCollege
DegreeBachelor
SubjectNursing
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Clarinet - 5
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 Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexFemale
Age22
Height5'5"
Weight155 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectArt and Journalism
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Viola - 6
Other
Years of experience		None
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts18
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeCurly
Skin:
Skin toneMedL
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:63
Education levels for each:College
Occupations for each:Electrical Manager
Religions for each:Christian
Father's Brothers' Total Children:
# BoysN/A
# GirlsN/A
Father's Sisters
# of Sisters1
Ages of Sisters:60
Education levels for each:College
Occupations for each:Homemaker
Religions for each:Christian
Father's Sisters' Total Children:
# Boys2
# GirlsN/A
Mother's Siblings
Mother's Brothers
# Brothers5
Ages of Brothers:64, 61, 59, 58, 56
Education levels for each:College, College, High school, Trade school, High school
Occupations for each:Banker, Urban Planner, Farmer, Electrician, Electrician
Religions for each:Christian, None, Christian, None, None
Mother's Brothers' Total Children:
# Boys4
# Girls8
Mother's Sisters
# Sisters2
Ages of Sisters:60, 53
Education levels for each:College, High school
Occupations for each:Landscape Architect, Nanny
Religions for each:None, None
Mother's Sisters' Total Children:
# Boys1
# Girls3
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Electrician
Primary ethnic origins:Czech, German
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Irish
Siblings:
# Brothers1
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Parents
Mother's Father
Education
LevelSome high school
DegreeNone
SubjectGeneral Studies
Occupation:Farmer
Primary ethnic origins:German
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:English
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A