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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
FoodBurrito
MusicRock
AnimalGorilla
PetDog
CarFerrari
MovieForrest Gump
Song"Run" by Snow Patrol
PlayThe Lion King
Goals:
AcademicPerhaps an MBA someday
Professional Move up through management to a director position
PersonalBe a great father, husband and friend to all
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayBasketball, Football, Softball, Tennis, Golf, Jogging
WatchBasketball, Football, Softball, Tennis, Golf, Jogging, Baseball, Hockey
Siblings:
# Brothers0
# Sisters1
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		27 - 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 		3.64.0
College
Question Response on scale of
GPA
on scale of 		2.7144.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsSciences, Mathematics
Minor subjectsBusiness
Degrees
Bachelor'sBS/Human Performance and Fitness, minor in Business Administration
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolTop 10% GPA, Football (All Section), Tennis
CollegeIntramurals
AcademicWinner of school Geography Bee, 5th and 6th grades; Placed third in state-wide math exam; Dean's list last three college semesters
Professional N/A
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16.5
Chest (inches)46
Inseam (inches)31
Waist (inches)34
Sleeve (inches)36
Wrist (inches)8
Hat size7.25
Shoe size12

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use12-15
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
OccupationAuto Mechanic
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Baptist
Primary ethnic origins:Irish, Norwegian
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
Age61
Height5'9"
Weight220 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Far-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		50
Hair:
Original hair color Black
If gray, age turned gray50
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation House Cleaning
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Baptist
Primary ethnic origins:Norwegian, Swedish, Finnish, Danish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano - 46
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age58
Height5'2"
Weight145 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeLight
Vision Far-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		30
Hair:
Original hair color Brown
If gray, age turned gray55
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age32
Height5'4"
Weight160 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation IT Consultant
Education:
LevelCollege
DegreeBachelor
SubjectBusiness
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Flute - 6
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		2 - 2, 5
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Far-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts14
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
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:58, 49
Education levels for each:High School, High School
Occupations for each:Union Welder, Manufacturing
Religions for each:Catholic, Catholic
Father's Brothers' Total Children:
# Boys3
# Girls1
Father's Sisters
# of Sisters2
Ages of Sisters:60, 55
Education levels for each:High School, High School
Occupations for each:Realtor, Housekeeper
Religions for each:Catholic, Catholic
Father's Sisters' Total Children:
# Boys2
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:56
Education levels for each:Bachelor's
Occupations for each:Pastor
Religions for each:Methodist
Mother's Brothers' Total Children:
# Boys1
# Girls1
Mother's Sisters
# Sisters1
Ages of Sisters:62
Education levels for each:Master's
Occupations for each:Teacher (Retired)
Religions for each:Christian
Mother's Sisters' Total Children:
# Boys0
# Girls0
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Business Owner
Primary ethnic origins:Norwegian
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Irish
Siblings:
# Brothers3
# Sisters5
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGraduate
DegreeMD
SubjectMedicine
Occupation:Physician
Primary ethnic origins:Norwegian, Swedish, Danish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankUnsure
Service Yrs4
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Norwegian, Swedish, Finnish
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0