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:Tenor
Instrument:
Years of experience:		Piano, Church hand bells - 2, 2
Other talents:
Years of experience		None
Favorite:
ColorBlue
FoodPizza
MusicCountry
AnimalCheetah
PetDog
CarJeep
MovieGladiator
Song"Man, I Feel Like a Woman" by Shania Twain
PlayThe Lion King
Goals:
AcademicNone
Professional To make enough money to support my family while still liking to go to work
PersonalTo have a happy family
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish, some Spanish
WriteEnglish
Sports:
PlayFootball, Basketball, Softball, Tennis, Volleyball, Bowling
WatchFootball, Baseball, Basketball
Siblings:
# Brothers2
# 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		N/A
ACT
on scale of		26 - 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 		3.04.0
College
Question Response on scale of
GPA
on scale of 		2.704.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.704.0
Subjects Studied:
Major subjectsPhysiology
Minor subjectsN/A
Degrees
Bachelor'sBA/Kinesiology
Master'sN/A
DoctorateN/A
Other(s)Physical Education teaching certification (Post-grad)
Awards & Activities
High schoolFootball, Basketball
CollegeFootball
AcademicN/A
Professional N/A
Political N/A
Personal N/A
Charitable N/A
OthersBoy Scouts

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)44
Inseam (inches)32
Waist (inches)36
Sleeve (inches)33
Wrist (inches)7.5
Hat size7.125
Shoe size12

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts24
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use9-11
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
OccupationStone Countertop Designer
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith None
Denomination N/A
Primary ethnic origins:Polish, Portuguese
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age55
Height5'10"
Weight185 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Far-Sighted
GlassesSingle - (reading glasses)
AstigmatismNo
Age started wearing glasses/contacts
yrs		50
Hair:
Original hair color Blond
If gray, age turned gray50
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Human Resources Manager
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:German, English
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
Age56
Height5'5"
Weight150 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismYes
Age started wearing glasses/contacts
yrs		18
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
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 siblingFull
Sibling #1 Physical Information
Body
SexMale
Age28
Height5'10"
Weight165 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Data Analyst
Education:
LevelCollege
DegreeBachelor
SubjectNeurology, Psychology
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish, Spanish, French
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Percussion - 8
Other
Years of experience		None
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/contactsN/A
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexMale
Age25
Height5'9"
Weight135 lbs.
HandsLeft-Handed
Sibling #2 Personal Information
Occupation Retail Manager
Education:
LevelCollege
DegreePursuing
SubjectBusiness
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Saxophone - 8
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts14
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneLight
Skin conditionCombination
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers4
Ages of Brothers:64, 63, 58, 53
Education levels for each:High school (all)
Occupations for each:Dispatcher, Safety Instructor, Warehouse Manager, Logistics Manager
Religions for each:Catholic (all)
Father's Brothers' Total Children:
# Boys4
# Girls1
Father's Sisters
# of Sisters1
Ages of Sisters:61
Education levels for each:High school
Occupations for each:Retail Manager (retired)
Religions for each:Unknown
Father's Sisters' Total Children:
# Boys1
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:59, 53
Education levels for each:High school, College
Occupations for each:Travel Agent, Architect
Religions for each:Methodist, Methodist
Mother's Brothers' Total Children:
# Boys3
# Girls1
Mother's Sisters
# Sisters2
Ages of Sisters:61, 58
Education levels for each:High school, High school
Occupations for each:Office Assistant, Office Assistant
Religions for each:Methodist, Methodist
Mother's Sisters' Total Children:
# Boys2
# Girls4
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Salesman (retired)
Primary ethnic origins:Portuguese
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Office Assistant (retired)
Primary ethnic origins:Polish
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Diesel Mechanic
Primary ethnic origins:English
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish
ReligionMethodist
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:German
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish, German
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0