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		Basketball, bowling, football, baseball, video games - Entire life
Favorite:
ColorBlue
FoodSpaghetti
MusicRock
AnimalHawk
PetFish
CarJetta
MovieAustin Powers
Song"Under the Bridge" Red Hot Chili Peppers
PlayMacbeth
Goals:
AcademicComplete Master's degree
Professional Marriage and Family Counseling
PersonalTo have a happy/healthy family
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayBaseball, basketball, footbal, bowling
WatchBaseball, basketball, football, hockey
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		21
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 		7.412.0
College
Question Response on scale of
GPA
on scale of 		2.54.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsSociology
Minor subjectsAnthropology
Degrees
Bachelor'sBA/Sociology
Master'sPursuing MS/Marriage Therapy
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolBasketball, football, basketball captain/All Conference
CollegeIntramural basketball
AcademicN/A
Professional N/A
Political N/A
Personal Sports, shopping
Charitable Volunteer
OthersN/A

Military

Served in militaryYes
BranchAir Force
RankAirman First Class
Years of service1

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)46
Inseam (inches)32
Waist (inches)36
Sleeve (inches)35
Wrist (inches)6
Hat size7.8
Shoe size12

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use17-18
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
OccupationValve Tester
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:German, Polish, Irish
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Father Physical Information
Body
Age46
Height5'9''
Weight185
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftMedium
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Homemaker
Donor's Mother Education:
LevelSome college
DegreeDiploma
SubjectBusiness
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:German, Norwegian, Irish, Native American (Chippewa)
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Mother Physical Information
Body
Age44
Height5'9''
Weight225
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
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
Age22
Height5'6''
Weight125
HandsRight-Handed
Sibling #1 Personal Information
Occupation Receptionist
Education:
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Religion:
Faith None
Denomination None
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #1 Children:
# Boys
Ages:		N/A
# Girls
Ages:		1 - 5
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedDk
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
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
SexMale
Age20
Height5'9''
Weight185
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelSome college
DegreeDiploma
SubjectGeneral studies
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #2 Children:
# Boys
Ages:		N/A
# Girls
Ages:		N/A
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedDk
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:55
Education levels for each:High school
Occupations for each:Postal worker
Religions for each:None
Father's Brothers' Total Children:
# Boys2
# Girls0
Father's Sisters
# of Sisters5
Ages of Sisters:50, 47, 42, 40, 38
Education levels for each:All High school
Occupations for each:Hair Salon Owner, Bank Manager, Insurance Agent, Construction Worker, City Worker
Religions for each:All Catholic
Father's Sisters' Total Children:
# Boys3
# Girls8
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:Died at two weeks of age
Education levels for each:N/A
Occupations for each:N/A
Religions for each:N/A
Mother's Brothers' Total Children:
# Boys0
# Girls0
Mother's Sisters
# Sisters2
Ages of Sisters:47, 42
Education levels for each:Some college, some college
Occupations for each:Nurse, secretary
Religions for each:Both Catholic
Mother's Sisters' Total Children:
# Boys1
# Girls4
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Janitor
Primary ethnic origins:German, Polish
Siblings:
# Brothers9
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchArmy
RankPrivate First Class
Service Yrs7
Father's Mother
Education
LevelHigh school
DegreeDipolma
SubjectGeneral studies
Occupation:Home Maker
Primary ethnic origins:Irish, German
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelSome High school
DegreeNot completed
SubjectGeneral studies
Occupation:Train Engineer
Primary ethnic origins:German
Siblings:
# Brothers3
# Sisters3
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Homemaker
Primary ethnic origins:Norwegian, Irish, Native American (Chippewa)
Siblings:
# Brothers4
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0