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:Bass
Instrument:
Years of experience:		N/A
Other talents:
Years of experience		N/A
Favorite:
ColorYellow
FoodBacon wrapped pork chop
MusicInstrumental
AnimalJaguar
PetCat
CarScion FS
MovieStonehearst Asylum
SongFireflies by Owlcity
PlayLion King
Goals:
AcademicDoctorate
Professional Clinical Director
PersonalObtain PsyD
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlaySoftball
WatchNone
Siblings:
# Brothers1
# 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		N/A
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 		2.54.0
College
Question Response on scale of
GPA
on scale of 		3.44.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.84.0
Subjects Studied:
Major subjectsPsychology
Minor subjectsCriminal Justice, Sociology
Degrees
Bachelor'sBachelor of Arts
Master'sMaster of Arts
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolFootball, Basketball, Track, Theater
CollegeN/A
AcademicN/A
Professional Helping businesses get statrted
Political N/A
Personal Camping, Fixing things around the house
Charitable N/A
OthersBoard Games, Puzzles, Riding my motorcyle

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)43
Inseam (inches)16
Waist (inches)38
Sleeve (inches)36
Wrist (inches)8
Hat size7
Shoe size11

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts12
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListN/A
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
OccupationSocial Worker
Donor's Father Education:
LevelGraduate school
DegreeMaster
SubjectSocial Work
Donor's Father Religion:
Faith None
Denomination N/A
Primary ethnic origins:French Canadian-Salvadoran
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBass
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Father Physical Information
Body
Age70
Height5'5"
Weight140
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		31
Hair:
Original hair color Black
If gray, age turned gray40
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryYes
BranchNavy
RankPrivate
Years of service3
Donor's Mother Personal Information
Occupation Dietary Aid
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral
Donor's Mother Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:Swedish-Norwegian
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceTenor
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Mother Physical Information
Body
Age54
Height5'4"
Weight220
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		18
Hair:
Original hair color Auburn
If gray, age turned gray55
TypeWavy
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age40
Height5'11"
Weight260
HandsRight-Handed
Sibling #1 Personal Information
Occupation Computer Engineer
Education:
LevelCollege
DegreeBachelor
SubjectComputer Science
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts12
Hair:
Original hair color Black
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
Age37
Height5'10"
Weight175
HandsRight-Handed
Sibling #2 Personal Information
Occupation Computer Engineer
Education:
LevelCollege
DegreeBachelor
SubjectComputer Science
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #2 Children:
# Boys
Ages:		1 - 7
# Girls
Ages:		1 - 9
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts8
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneLight
Skin conditionMedium
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:73
Education levels for each:High School
Occupations for each:Unknown
Religions for each:Unknown
Father's Brothers' Total Children:
# BoysN/A
# GirlsN/A
Father's Sisters
# of Sisters2
Ages of Sisters:80, 77
Education levels for each:High School, High School
Occupations for each:Unknown, Hotel Clerk
Religions for each:Unknown, Unknown
Father's Sisters' Total Children:
# Boys2
# Girls5
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:71, 66, 54
Education levels for each:High School (all)
Occupations for each:Military, Unknown, Janitor
Religions for each:Lutheran (all)
Mother's Brothers' Total Children:
# Boys5
# Girls6
Mother's Sisters
# Sisters2
Ages of Sisters:66, 62
Education levels for each:High School, Unknown
Occupations for each:Unknown, Culinary Chef
Religions for each:Christian, Lutheran
Mother's Sisters' Total Children:
# Boys6
# Girls2
Father's Parents
Father's Father
Education
LevelHigh School
DegreeN/A
SubjectN/A
Occupation:Unknown
Primary ethnic origins:Salvadoran
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionUnknown
Military
BranchN/A
RankN/A
Service YrsN/A
Father's Mother
Education
LevelHigh School
DegreeN/A
SubjectN/A
Occupation:Entrepreneur
Primary ethnic origins:French Canadian
Siblings:
# Brothers3
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeN/A
SubjectN/A
Occupation:Entrepreneur
Primary ethnic origins:Swedish
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesSwedish/English
ReligionLutheran
Military
BranchSwedish Service
RankUnknown
Service YrsN/A
Mother's Mother
Education
LevelHigh School
DegreeN/A
SubjectN/A
Occupation:Farmer
Primary ethnic origins:Norwegian
Siblings:
# Brothers1
# Sisters6
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchN/A
RankN/A
Service YrsN/A