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, Bass, Drums - 15, 15, 10
Other talents:
Years of experience		Golf - Since childhood
Favorite:
ColorRed
FoodBacon cheeseburger
MusicClassical
AnimalGorilla
PetDog
Car1967 Pontiac GTO
MovieThe Godfather
SongRussian Easter Overture
Play12 Angry Men
Goals:
AcademicPhD
Professional United States Senate
PersonalTravel
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayGolf
WatchFootball, Basketball
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		27 - 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 		3.54.0
College
Question Response on scale of
GPA
on scale of 		2.944.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsSocial Science
Minor subjectsN/A
Degrees
Bachelor'sBS/Social Sciences
Master'sN/A
DoctorateNA
Other(s)NA
Awards & Activities
High schoolSports
CollegeStudent government
AcademicAcademic Letter
Professional Rookie Teacher of the Year
Political Political party volunteer
Personal Environmental campaigns volunteer
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)40
Inseam (inches)32
Waist (inches)30
Sleeve (inches)29
Wrist (inches)6.5
Hat size7
Shoe size10.5

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
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
OccupationTeacher/Coach
Donor's Father Education:
LevelGraduate school
DegreeMaster
SubjectEducation Administration
Donor's Father Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins:Irish, Scottish
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBass
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age57
Height5'10"
Weight225 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Teacher
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectEducation
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Italian, English
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
Age58
Height5'4"
Weight120 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
Hair:
Original hair color Brown
If gray, age turned gray40
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
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
Age31
Height5'4"
Weight115 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Teacher
Education:
LevelGraduate school
DegreeMaster
SubjectEducation
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
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 colorGreen
Eye shadeMedium
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 conditionOily
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:53
Education levels for each:College
Occupations for each:Coach
Religions for each:Christian
Father's Brothers' Total Children:
# Boys1
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:52
Education levels for each:MD
Occupations for each:Doctor
Religions for each:Agnostic
Mother's Brothers' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelGraduate school
DegreeMaster's
SubjectEducation
Occupation:Football Coach/Athletic Director
Primary ethnic origins:Scottish
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionNone
Military
BranchAir Force
RankSergeant
Service Yrs5
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Teacher
Primary ethnic origins:Irish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionEpiscopalian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Medical Administrator
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish, Spanish
ReligionCatholic
Military
BranchNavy
RankFirst Petty Officer
Service Yrs4
Mother's Mother
Education
LevelCollege
DegreeBachelor's
SubjectElementary Education
Occupation:Teacher
Primary ethnic origins:Italian
Siblings:
# Brothers0
# Sisters6
Other:
LanguagesEnglish, Spanish, Italian
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0