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:		Bass Guitar, Piano - 13, 3
Other talents:
Years of experience		I've been sourcing and roasting my own coffee at home and maintaining the machinery myself - 14
Favorite:
ColorRed
FoodPot roast with mashed potatoes
MusicFunky instrumental jazz
AnimalCat
PetCat
Car1969 Pontiac G.T.O. Judge
MovieStar Wars
SongAnything Pink Floyd
PlayNot so big on plays
Goals:
AcademicEntrepreneurship
Professional Property ownership
PersonalCreating long lasting friendships and family bonds
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayAnything with a ball! I love getting together and playing for fun or competition
WatchFootball, Baseball (Wannabe hockey fan but never watch or attend!)
Siblings:
# Brothers0
# Sisters2
Are you a twin?
Identical or fraternal?		No
# of twins in your familyN/A
# Identical setsN/A
# Fraternal setsN/A

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 		Unsure
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 subjectsEntrepreneurship
Minor subjectsSmall Business Management
Degrees
Bachelor'sN/A
Master'sN/A
DoctorateN/A
Other(s)AA/Entrepreneurship (incomplete)
Awards & Activities
High schoolVolunteered providing meals to the homeless
CollegeN/A
AcademicN/A
Professional N/A
Political N/A
Personal Certified coffee roaster
Charitable N/A
OthersChildhood awards in karate, baseball and basketball

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)40
Inseam (inches)30
Waist (inches)29
Sleeve (inches)30
Wrist (inches)7
Hat size7
Shoe size10

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts0 - (last year)
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use10-15
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
OccupationSalesman
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins:Swedish, Austrian
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBass
Instrument
yrs experience		Piano - 35
Other
yrs experience		Sales - 45
Donor's Father Physical Information
Body
Age74
Height5'7"
Weight165 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeDark
Vision Near-Sighted
GlassesBifocal
AstigmatismYes
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Brown
If gray, age turned gray50
TypeStraight
Skin:
Skin ToneLight
Skin ConditionOily
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Bookkeeper
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins:German, Norwegian
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		Crafts (photography, building and repairing things) - 15
Donor's Mother Physical Information
Body
Age61 - deceased
Height5'7"
Weight175 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeDark
Vision Far-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		15
Hair:
Original hair color Brown
If gray, age turned gray51
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesSlight
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 siblingHalf
Sibling #1 Physical Information
Body
SexFemale
Age54
Height5'9"
Weight155 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Cashier
Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1 - 22
# Girls
Ages:		2 - 29, 25
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts13
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryYes
BranchNavy
RankSeaman Apprentice
Years of service4
Donor's Sibling #2
Full/Half siblingHalf
Sibling #2 Physical Information
Body
SexFemale
Age31
Height5'7"
Weight 145 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Sales Manager
Education:
LevelCollege
DegreeBachelor
SubjectNutrition
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Flute - 15
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorGreen
Eye shadeDark
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts20
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Sisters
# of Sisters2
Ages of Sisters:69, 65
Education levels for each:High school, High school
Occupations for each:Accountant (retired), Librarian (retired)
Religions for each:Evangelical, Evangelical
Father's Sisters' Total Children:
# Boys4
# Girls1
Mother's Siblings
Mother's Sisters
# Sisters6
Ages of Sisters:72, 70, 69, 67, 63, 56
Education levels for each:Bachelor's, Associate's, Associate's, Some college, Associate's, Associate's
Occupations for each:Counselor, Registered Nurse, Librarian, Accountant, Dispatch Manager, Small Business Owner
Religions for each:Catholic, Catholic, Catholic, Agnostic, Agnostic, Catholic
Mother's Sisters' Total Children:
# Boys3
# Girls8
Father's Parents
Father's Father
Education
LevelGraduate
DegreeMaster's
SubjectEngineering
Occupation:Chemist
Primary ethnic origins:Austrian
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish, German
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Swedish
Siblings:
# Brothers3
# Sisters4
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Postal Worker
Primary ethnic origins:Norwegian
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchNavy
RankPetty Officer First Class
Service Yrs6
Mother's Mother
Education
LevelCollege
DegreeAssociate's
SubjectNursing
Occupation:Registered Nurse
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters5
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0