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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:		None
Other talents:
Years of experience		Soccer, Baseball - 23, 4
Favorite:
ColorGreen
FoodItalian
MusicRock, Country
AnimalDog
PetDog
CarBMW
MovieTransformers
Song"All the Small Things" by Blink 182
PlayA Street Car Named Desire
Goals:
AcademicTo go to graduate school to obtain my MBA
Professional To get promoted to executive level
PersonalTo be a good father and husband; to have balance in my life
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Sports:
PlaySoccer, Baseball, Basketball
WatchFootball, Baseball, Soccer, Basketball, Tennis
Siblings:
# Brothers1
# Sisters0
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		1200 - out of 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 		3.84.0
College
Question Response on scale of
GPA
on scale of 		3.54.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsBusiness Management
Minor subjectsMath, Science
Degrees
Bachelor'sBS/Business Management
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolHonor Roll; Award for Perfect Attendance; Science Award; Varsity Athlete
CollegeDean's List
AcademicDean's List; Varsity Athlete
Professional None
Political None
Personal Varsity Athlete
Charitable None
OthersNone

Military

Served in militaryNo
BranchN/A
RankN/A
Years of service0

Physical Features

HandsLeft-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)42
Inseam (inches)33
Waist (inches)34
Sleeve (inches)30
Wrist (inches)6.5
Hat size7.75
Shoe size12

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts8
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
OccupationAirline Inspector
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectBusiness Management
Donor's Father Religion:
Faith Christian
Denomination Protestant
Primary ethnic origins:English
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Guitar - 45
Other
yrs experience		Piano - 60
Donor's Father Physical Information
Body
Age73
Height5'6"
Weight180 lbs
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		8
Hair:
Original hair color Brown
If gray, age turned gray68
TypeStraight
Skin:
Skin ToneMed
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryYes
BranchAir Force
RankPrivate First Class
Years of service4
Donor's Mother Personal Information
Occupation Accountant
Donor's Mother Education:
LevelSome college
DegreeAssociate
SubjectAccounting
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:English, Irish, French
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
Age61
Height5'6"
Weight130 lbs
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		7
Hair:
Original hair color Brown
If gray, age turned gray55
TypeStraight
Skin:
Skin ToneLight
Skin ConditionCombination
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age34
Height5'10"
Weight170 lbs.
HandsLeft-Handed
Sibling #1 Personal Information
Occupation Bartender
Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Guitar - 7
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorGreen
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts8
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Sisters
# of Sisters1
Ages of Sisters:76
Education levels for each:Bachelor's
Occupations for each:Nurse
Religions for each:Protestant
Father's Sisters' Total Children:
# Boys1
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:63, 62
Education levels for each:Bachelor's, Master's
Occupations for each:Liquidator, Respiratory Therapist
Religions for each:Catholic, Catholic
Mother's Brothers' Total Children:
# Boys2
# Girls1
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Accountant
Primary ethnic origins:English
Siblings:
# Brothers3
# Sisters3
Other:
LanguagesEnglish
ReligionProtestant
Military
BranchNo
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:English
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionProtestant
Military
BranchNo
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Supervisor
Primary ethnic origins:English, Irish, French
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionCathloic
Military
BranchArmy
RankCorporal
Service Yrs4
Mother's Mother
Education
LevelCollege
DegreeBachelor's
SubjectNursing
Occupation:Nurse
Primary ethnic origins:English, Irish, French
Siblings:
# Brothers7
# Sisters4
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchNo
RankN/A
Service Yrs0