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:		Tenor Saxophone - 7
Other talents:
Years of experience		Basketball - Lifetime
Favorite:
ColorBlue
FoodHamburger
MusicI listen to all types of music
AnimalCattle
PetDog
CarCorvette
MovieVenom
Song"Cocoon" by Milky Chance
PlayGrease
Goals:
AcademicGraduate with doctorate degree in Food Science
Professional Be a leader in the dairy industry
PersonalBe there for my family
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayBasketball, Football, Softball, Baseball, Golf
WatchFootball, Basketball
Siblings:
# Brothers0
# Sisters2
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		18 - out of 36
GRE
on scale of		151 - out of 170
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 		3.34.0
College
Question Response on scale of
GPA
on scale of 		3.264.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.594.0
Subjects Studied:
Major subjectsFood Science
Minor subjectsN/A
Degrees
Bachelor'sBS/Food Science and Technology
Master'sN/A
DoctoratePursuing PhD/Food Science and Technology
Other(s)N/A
Awards & Activities
High schoolFootball, Baseball, Basketball, Golf
CollegeScholarships
AcademicDean's List, Publications, Conferences
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)42
Inseam (inches)32
Waist (inches)30
Sleeve (inches)35
Wrist (inches)8
Hat size7.75
Shoe size12

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use12-15
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
OccupationDairy Farmer
Donor's Father Education:
LevelTrade school
DegreeAssociate
SubjectArchitecture
Donor's Father Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:German, English
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		Mechanical - Lifetime
Donor's Father Physical Information
Body
Age62
Height6'2"
Weight220 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		50
Hair:
Original hair color Brown
If gray, age turned gray50
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Teacher
Donor's Mother Education:
LevelGraduate school
DegreeMaster
SubjectTeaching
Donor's Mother Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:German, English
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Clarinet, Piano - 8, 5
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age57
Height5'8"
Weight170 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		40
Hair:
Original hair color Brown
If gray, age turned gray45
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionCombination
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
Age34
Height5'5"
Weight130 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Occupational Therapist
Education:
LevelGraduate school
DegreeMaster
SubjectOccupational Therapy
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Clarinet - 15
Other
Years of experience		Good cook - As long as I can remember
Sibling #1 Children:
# Boys
Ages:		3 - 6, 4, Infant
# Girls
Ages:		N/A
Sibling #1 Facial Features
Eyes:
Eye colorHazel
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionN/A - (Unknown)
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesSlight
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
Age32
Height5'10"
Weight140 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Public Health
Education:
LevelGraduate school
DegreeMaster
SubjectBiology
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Saxophone - 10
Other
Years of experience		Athletic - As long as I can remember
Sibling #2 Children:
# Boys
Ages:		N/A
# Girls
Ages:		2 - 2, Infant
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 toneMedL
Skin conditionN/A - (Unknown)
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesMedium
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:61
Education levels for each:High school
Occupations for each:Truck Driver
Religions for each:Lutheran
Father's Brothers' Total Children:
# BoysN/A
# Girls2
Father's Sisters
# of Sisters3
Ages of Sisters:68, 65, 64
Education levels for each:College (all)
Occupations for each:Nurse, Florist, Public Health
Religions for each:Christian (all)
Father's Sisters' Total Children:
# Boys2
# Girls3
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:54
Education levels for each:College
Occupations for each:Pharmacist
Religions for each:Christian
Mother's Brothers' Total Children:
# BoysN/A
# GirlsN/A
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Farmer
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankPFC
Service Yrs5
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Farmer
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGraduate
DegreeDoctorate
SubjectVeterinary Medicine
Occupation:Veterinarian
Primary ethnic origins:English
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelCollege
DegreeBachelor's
SubjectTeaching
Occupation:Teacher
Primary ethnic origins:German
Siblings:
# Brothers3
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0