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:		Violin - <1
Other talents:
Years of experience		Art, Design, Writing, Technology - 30, 30, 25, 20
Favorite:
ColorBlack
FoodPizza
MusicRock, Rap, Folk
AnimalPenguin
PetSugar Glider
CarTesla S
Movie"Shawshank Redemption"
Song"Lux Aeterna"
Play"Arsenic and Old Lace"
Goals:
AcademicPolitics, History, Design, Music
Professional Architecture, Politics, Invention, Self Employment
PersonalMusic, Design, Creative Writing
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayBaseball, Volleyball, Frisbee golf, Horseshoes
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		N/A
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 		9.7511.0
College
Question Response on scale of
GPA
on scale of 		3.754.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsArts, Writing, History, Business, Information Technology
Minor subjectsWoodworking, Graphic Arts, Literature, Patents
Degrees
Bachelor'sN/A
Master'sN/A
DoctorateN/A
Other(s)AAS/Business Administration
Awards & Activities
High schoolHonor Roll
CollegeHigh honors
AcademicAspiring author
Professional N/A
Political City Government, City Council
Personal N/A
Charitable Salvation Army volunteer, Blood donor, Public Broadcasting sustainer
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)38
Inseam (inches)32
Waist (inches)34
Sleeve (inches)34
Wrist (inches)7
Hat size7
Shoe size11

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts10
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
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
OccupationChief Mechanical Engineer
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:German
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Guitar, Drums - 41, 32
Other
yrs experience		Inventing, Design - 40, 35
Donor's Father Physical Information
Body
Age59
Height6'2"
Weight200 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		18
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
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 Office Assistant/Homemaker
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins:Swedish, German, Irish, Scottish, Norwegian
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		Organization, Sewing - 50, 32
Donor's Mother Physical Information
Body
Age57
Height5'3"
Weight130 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Brown
If gray, age turned gray48
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age29
Height6'0"
Weight185 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Parts Distributor/Driver
Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Drums - 7
Other
Years of experience		Woodworking - 10
Sibling #1 Children:
# Boys
Ages:		1 - 3 months
# Girls
Ages:		1 - 2
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts17
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age27
Height5'4"
Weight145 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Electrical/Architectural Drafter
Education:
LevelCollege
DegreeAssociate
SubjectArchitectural Drafting
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Guitar - 3
Other
Years of experience		Design - 8
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBlue
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts13
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeCurly
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 #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexFemale
Age22
Height5'8"
Weight125 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Receptionist
Education:
LevelSome college
DegreePursuing
SubjectRadiology
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Guitar - 4
Other
Years of experience		Drawing/Painting - 15
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts13
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:56, 51
Education levels for each:High school, High school
Occupations for each:Musician/Engraver, Engineer/Maintenance
Religions for each:Catholic, Catholic
Father's Brothers' Total Children:
# Boys5
# Girls2
Father's Sisters
# of Sisters4
Ages of Sisters:63, 56, 54, 49
Education levels for each:College, High school, College, High school
Occupations for each:Office Administrator, Food Service, Special Needs Coach, Lab Supervisor/Realtor
Religions for each:Catholic, Catholic, Agnostic, Catholic
Father's Sisters' Total Children:
# Boys5
# Girls5
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:61, 60
Education levels for each:High school, High school
Occupations for each:Printer, Bricklayer/Mason
Religions for each:Lutheran, Lutheran
Mother's Brothers' Total Children:
# Boys1
# Girls2
Mother's Sisters
# Sisters2
Ages of Sisters:65, 63
Education levels for each:High school, High school
Occupations for each:Tax Accountant, Abstractor
Religions for each:Lutheran, Lutheran
Mother's Sisters' Total Children:
# Boys3
# Girls2
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Union Steward
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish, German
ReligionCatholic
Military
BranchArmy
RankPrivate 1st Class
Service Yrs2
Father's Mother
Education
LevelSome College
DegreeNot completed
SubjectLiberal Studies
Occupation:Teacher, Waitress, Homemaker
Primary ethnic origins:German
Siblings:
# Brothers5
# Sisters4
Other:
LanguagesEnglish, German
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Mason, Bricklayer
Primary ethnic origins:German, Irish, Scottish, Norwegian, Swedish
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchArmy
RankPrivate 1st Class
Service Yrs2
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Office Assistant
Primary ethnic origins:Swedish
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchNo
RankN/A
Service Yrs0