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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		None
Favorite:
ColorGreen
FoodCheeseburger
MusicRock
AnimalGopher
PetDog
CarCamaro
MovieStar Wars: Episode 1, Happy Gilmore, Tommy Boy
Song"Piano Man" by Billy Joel
PlayNone
Goals:
AcademicTo complete my Bachelor's degree in Engineering
Professional To find a job and work in the aerospace field
PersonalTo start a family
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish, German
ReadEnglish, German
WriteEnglish, German
Sports:
PlayGolf, Hockey, Volleyball, Football
WatchGolf, Hockey, Football
Siblings:
# Brothers0
# Sisters2
Are you a twin?
Identical or fraternal?		No
# of twins in your family2
# Identical sets0
# Fraternal sets1 - Donor's sisters

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		N/A
ACT
on scale of		21 - out 0f 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 		3.84.0
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/A
Subjects Studied:
Major subjectsEngineeering
Minor subjectsAstrophysics
Degrees
Bachelor'sPursuing BS/Engineering
Master'sN/A
DoctorateN/A
Other(s)High school
Awards & Activities
High schoolNational Honor Society; Physics competition award winner; Men's golf captain
CollegeFraternity member
AcademicAcademic scholarship, , Graduation from high school with high honors
Professional N/A
Political N/A
Personal N/A
Charitable Work for local charities
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)39
Inseam (inches)31
Waist (inches)33
Sleeve (inches)31
Wrist (inches)7.25
Hat size7.5
Shoe size11

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts15
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use15-17
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
OccupationSales Manager
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:German
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
Age45
Height6'0"
Weight210 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		30
Hair:
Original hair color Black
If gray, age turned gray38
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Program Director
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectRecreational Therapy
Donor's Mother Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:German
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age46
Height5'8"
Weight135 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		35
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeCurly
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
Age19
Height5'6''
Weight125 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectPhysical Therapy
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish, German
ReadEnglish, German
WriteEnglish, German
Talents:
VoiceSoprano
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorHazel
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts17
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
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 Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age19
Height5'8''
Weight140 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectPhysical Therapy
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish, German
ReadEnglish, German
WriteEnglish, German
Talents:
VoiceSoprano
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts17
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:49, 47
Education levels for each:Bachelor's, High school
Occupations for each:Air Traffic Controller, Farmer
Religions for each:Lutheran, Lutheran
Father's Brothers' Total Children:
# Boys4
# Girls1
Father's Sisters
# of Sisters2
Ages of Sisters:55, 50
Education levels for each:Bachelor's, Bachelor's
Occupations for each:Hospital Administrator, Business Owner
Religions for each:Lutheran, Lutheran
Father's Sisters' Total Children:
# Boys1
# Girls4
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:52
Education levels for each:Bachelor's
Occupations for each:Computer Science
Religions for each:Lutheran
Mother's Brothers' Total Children:
# Boys0
# Girls2
Mother's Sisters
# Sisters1
Ages of Sisters:49
Education levels for each:Bachelor's
Occupations for each:Respiratory Therapist
Religions for each:Lutheran
Mother's Sisters' Total Children:
# Boys2
# Girls0
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Car Salesman
Primary ethnic origins:German
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchArmy
RankUnknown
Service Yrs5
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Sales Associate
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Farmer
Primary ethnic origins:German
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchArmy
RankUnknown
Service Yrs5
Mother's Mother
Education
LevelCollege
DegreeBachelor's
SubjectNursing
Occupation:Nurse
Primary ethnic origins:German
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchN/A
RankN/A
Service Yrs0