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:		2 - Trumpet
Other talents:
Years of experience		4 - Piano
Favorite:
ColorGreen
FoodTacos, Lasagna
MusicHip hop
AnimalGorilla
PetDog
CarBMW I8
MovieI Am Legend
SongLose Yourself
PlayN/A
Goals:
AcademicTo obtain a masters degree in nursing
Professional Become a nurse anesthesist
PersonalGive back to the community
Religion:
Faith Christian
Denomination Mormon
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayBasketball
WatchBasketball, Football
Siblings:
# Brothers2
# Sisters4
Are you a twin?
Identical or fraternal?		No
# of twins in your family1
# Identical setsN/A
# Fraternal sets1

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		1230 - 1600
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 		3.734.0
College
Question Response on scale of
GPA
on scale of 		4.04.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsNursing
Minor subjectsN/A
Degrees
Bachelor'sN/A
Master'sN/A
DoctorateN/A
Other(s)AAS/Nursing
Awards & Activities
High schoolSalutatorian
CollegeN/A
AcademicHonor Student
Professional N/A
Political N/A
Personal N/A
Charitable Local Neighboorhood Charities, Nursing Programs
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)37
Inseam (inches)34
Waist (inches)32
Sleeve (inches)32.5
Wrist (inches)7.5
Hat size7.5
Shoe size10

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts10
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use19 - Present
Other Physical Aids:
ListNone
Reason/causeNone

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
OccupationStore Manager
Donor's Father Education:
LevelSome college
DegreeNot Completed
SubjectNursing
Donor's Father Religion:
Faith Christian
Denomination Protestant
Primary ethnic origins:Puerto Rican-German
Donor's Father Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		Poetry - 25
Donor's Father Physical Information
Body
Age41
Height5' 9"
Weight200
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
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 Mother Personal Information
Occupation Nurse
Donor's Mother Education:
LevelCollege
DegreeAssociate
SubjectNursing
Donor's Mother Religion:
Faith Christian
Denomination Mormon
Primary ethnic origins:Puerto rican
Donor's Mother Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age39
Height5' 4"
Weight120
HandsAmbidextrous
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		19
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
SexMale
Age13
Height5'11"
Weight135 lbs.
HandsLeft-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Mormon
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceBaritone
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #1 Children:
# Boys
Ages:		N/A
# Girls
Ages:		N/A
Sibling #1 Facial Features
Eyes:
Eye colorBrown
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 toneMed
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryN/A
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #2
Full/Half siblingHalf
Sibling #2 Physical Information
Body
SexFemale
Age10
Height4'11"
Weight82 lbs.
HandsLeft-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Mormon
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts10
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #3
Full/Half siblingHalf
Sibling #3 Physical Information
Body
SexMale
Age6
Height4' 2"
Weight55 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Protestant
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorBrown
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesMedium
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #4
Full/Half siblingHalf
Sibling #4 Physical Information
Body
SexFemale
Age4
Height3'8"
Weight50 lbs.
HandsRight-Handed
Sibling #4 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Protestant
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #4 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #4 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeCurly
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesMedium
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #5
Full/Half siblingHalf
Sibling #5 Physical Information
Body
SexFemale
Age4
Height3' 8"
Weight50 lbs.
HandsRight-Handed
Sibling #5 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Protestant
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #5 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #5 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeCurly
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesMedium
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #6
Full/Half siblingN/A
Sibling #6 Physical Information
Body
SexN/A
AgeN/A
HeightN/A
WeightN/A
HandsN/A
Sibling #6 Personal Information
Occupation N/A
Education:
LevelN/A
DegreeN/A
SubjectN/A
Religion:
Faith N/A
Denomination N/A
Languages:
SpeakN/A
ReadN/A
WriteN/A
Talents:
VoiceN/A
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #6 Children:
# Boys
Ages:		N/A
# Girls
Ages:		N/A
Sibling #6 Facial Features
Eyes:
Eye colorN/A
Eye shadeN/A
Vision N/A
GlassesN/A
AstigmatismN/A
Age started wearing glasses/contactsN/A
Hair:
Original hair color N/A
If gray, age turned grayN/A
TypeN/A
Skin:
Skin toneN/A
Skin conditionN/A
Other:
Chin cleftN/A
Ear lobeN/A
Facial dimplesN/A
Military
Served in militaryN/A
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:23
Education levels for each:High school
Occupations for each:Manager
Religions for each:Atheist
Father's Brothers' Total Children:
# BoysN/A
# GirlsN/A
Father's Sisters
# of Sisters3
Ages of Sisters:40, 38, 24
Education levels for each:Associate's, Bachelor's, High school
Occupations for each:Realtor, Real estate, Clerk
Religions for each:Christian, Christian, Athiest
Father's Sisters' Total Children:
# Boys5
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:43, 36, 26
Education levels for each:High school, Some College, High school
Occupations for each:Construction, Military, Truck Driver
Religions for each:Christian, Christian, Christian
Mother's Brothers' Total Children:
# Boys0
# Girls5
Mother's Sisters
# Sisters5
Ages of Sisters:42, 40, 35, 32, 23
Education levels for each:Associate's, College, College, College, High school
Occupations for each:Technician, Technician, Realtor, Clerk, Store Manager
Religions for each:Christian, Christian, Athiest, Christian, Christian
Mother's Sisters' Total Children:
# Boys4
# Girls4
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectLiberal Arts
Occupation:Sales
Primary ethnic origins:Puerto Rican
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish, Spanish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Father's Mother
Education
LevelCollege
DegreeAssociate's
SubjectLiberal Arts
Occupation:Photographer
Primary ethnic origins:German-Puerto Rican
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish, Spanish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Puerto Rican
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish, Spanish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Sales
Primary ethnic origins:Puerto Rican
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish, Spanish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A