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Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Donor's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Baritone
Instrument:
Years of experience:		Voice, Cello - 14, 4
Other talents:
Years of experience		Chess - 18
Favorite:
ColorTurquoise
FoodStir fry, Grass fed meats, Fruit smoothies
MusicClassic Rock, Pop, Classical
AnimalDolphin
PetCats
CarNo favorite
MovieThe Matrix
Song"Life on Mars," by David Bowie
PlayJesus Christ Superstar
Goals:
AcademicTo become as knowledgeable and masterful in my pursuits as possible
Professional To have financial security, and contribute something good to society
PersonalTo understand and be kind to myself and the world around me
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish, some French
ReadEnglish, some French
WriteEnglish, some French
Sports:
PlayPing Pong, Ultimate Frisbee, Frisbee Golf,
WatchNone
Siblings:
# Brothers1
# 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		25 - 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 		34.0
College
Question Response on scale of
GPA
on scale of 		3.14.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsTheatre
Minor subjectsPhilosophy
Degrees
Bachelor'sPursuing BA/Theatre Arts
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolCross Country, Debate
CollegeWriting Club, French Club
AcademicN/A
Professional N/A
Political N/A
Personal Chess Club
Charitable N/A
OthersN/A

Military

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

Physical Features

HandsLeft-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15.5
Chest (inches)35
Inseam (inches)30
Waist (inches)31
Sleeve (inches)31
Wrist (inches)6.5
Hat size7.25
Shoe size10.5

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts10
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use15-17
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
OccupationPsychologist/Antique dealer
Donor's Father Education:
LevelCollege
DegreeMaster
SubjectPsychology
Donor's Father Religion:
Faith Christian
Denomination Evangelical Covenant
Primary ethnic origins:English, Scottish, Irish
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		Sketching, Billiards, Shooting, Chess - 20+ years for each
Donor's Father Physical Information
Body
Age51
Height6'1"
Weight180 lbs.
HandsLeft-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		12
Hair:
Original hair color Black
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 service0
Donor's Mother Personal Information
Occupation Professor
Donor's Mother Education:
LevelCollege
DegreeDoctorate
SubjectOccupational Therapy
Donor's Mother Religion:
Faith Christian
Denomination Evangelical Covenant
Primary ethnic origins:Norwegian, Polish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano, Violin - 10, 2
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age54
Height5"4"
Weight170 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneLight
Skin ConditionDry
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
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
SexFemale
Age25
Height5"8"
Weight135 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectOccupational Therapy
Religion:
Faith Christian
Denomination Evangelical Covenant
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Violin - 5
Other
Years of experience		Painting, Knitting - 12, 6
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorHazel
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age23
Height5"9"
Weight140 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelSome college
DegreePursuing
SubjectPhysical Therapy
Religion:
Faith Christian
Denomination Evangelical Covenant
Languages:
SpeakEnglish, some Spanish
ReadEnglish, some Spanish
WriteEnglish, some Spanish
Talents:
VoiceAlto
Instrument
Years of experience		Piano - 10
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorHazel
Eye shadeMedium
Vision Near-Sighted
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts14
Hair:
Original hair color Blond
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 service0
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexMale
Age20
Height5'10"
Weight170 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Student
Education:
LevelSome college
DegreePursuing
SubjectSeminary
Religion:
Faith Christian
Denomination Evangelical Covenant
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorHazel
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts12
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 service0
Mother's Siblings
Mother's Brothers
# Brothers5
Ages of Brothers:56, 52, 51, 49, 47
Education levels for each:High School, High School, High School, Master's, Bachelor's
Occupations for each:Janitor, Farmer, Farmer, Insurance Executive, Mailman
Religions for each:Christian, Christian, Christian, Christian, Christian
Mother's Brothers' Total Children:
# Boys8
# Girls2
Mother's Sisters
# Sisters1
Ages of Sisters:45
Education levels for each:Master's
Occupations for each:Physical Therapist
Religions for each:Christian
Mother's Sisters' Total Children:
# Boys1
# Girls2
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Oil Field Supervisor
Primary ethnic origins:English, Irish
Siblings:
# Brothers2
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankSergeant
Service Yrs4
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Secretary
Primary ethnic origins:English, Scottish
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Farmer
Primary ethnic origins:Polish
Siblings:
# Brothers4
# Sisters0
Other:
LanguagesEnglish, Polish
ReligionChristian
Military
BranchArmy
RankPrivate
Service Yrs2
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Farmer
Primary ethnic origins:Norwegian
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish, Norwegian
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0