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:Bass
Instrument:
Years of experience:		Drums - 2
Other talents:
Years of experience		Sports - 18
Favorite:
ColorBlue
FoodSteak
MusicClassic rock
AnimalTigers
PetCats, Dogs
CarMuscle cars
MovieStep Brothers
Song"Tuesday's Gone"
PlayN/A
Goals:
AcademicMaster's degree
Professional To be a CPA
PersonalHave a family and to be able to live comfortably
Religion:
Faith Christian
Denomination Methodist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayFootball, Basketball, Baseball, Golf, Track and Field
WatchFootball, Baseball, Basketball, Golf
Siblings:
# BrothersN/A
# 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		1690 - out of 2400
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 		3.44.0
College
Question Response on scale of
GPA
on scale of 		2.824.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsAccounting
Minor subjectsN/A
Degrees
Bachelor'sPursuing BS/Accounting
Master'sN/A
DoctorateN/A
Other(s)Advanced high school diploma
Awards & Activities
High schoolSports, FBLA, FFA, Sports teams
CollegeBusiness fraternity
AcademicHonor Roll, SOL perfect scores
Professional N/A
Political N/A
Personal Fishing, Sports, Coin collecting, Coaching youth
Charitable Donate time to local library
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)16
Chest (inches)43
Inseam (inches)30
Waist (inches)34
Sleeve (inches)33
Wrist (inches)7
Hat size8
Shoe size12

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts14
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
OccupationMaintenance Supervisor
Donor's Father Education:
LevelSome college
DegreeOther
SubjectContractor's License
Donor's Father Religion:
Faith Christian
Denomination Methodist
Primary ethnic origins:English
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBass
Instrument
yrs experience		Guitar, Saxophone - 10, 10
Other
yrs experience		None
Donor's Father Physical Information
Body
Age54
Height5'11"
Weight170 lbs.
HandsLeft-Handed
Donor's Father Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMed
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Teacher's Aide
Donor's Mother Education:
LevelSome college
DegreeNot Completed
SubjectEducation
Donor's Mother Religion:
Faith Christian
Denomination Methodist
Primary ethnic origins:German
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		Saxophone - 10
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age54
Height5'6"
Weight150 lbs.
HandsLeft-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesMedium
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
SexFemale
Age20
Height5'8"
Weight105 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectBusiness
Religion:
Faith Christian
Denomination Methodist
Languages:
SpeakEnglish
ReadEnglish, French, Spanish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Piano - 10
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedL
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers3
Ages of Brothers:60, 57, 48
Education levels for each:College, Some college, Some college
Occupations for each:Accountant, Factory Worker, IT Specialist
Religions for each:Christian (all)
Father's Brothers' Total Children:
# BoysN/A
# Girls4
Mother's Siblings
Mother's Sisters
# Sisters1
Ages of Sisters:57
Education levels for each:College
Occupations for each:Teacher
Religions for each:Christian
Mother's Sisters' Total Children:
# BoysN/A
# GirlsN/A
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Real Estate Developer
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankUnknown
Service Yrs8
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Small Business Owner
Primary ethnic origins:English
Siblings:
# Brothers4
# Sisters4
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Factory Manager
Primary ethnic origins:German
Siblings:
# Brothers3
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankUnknown
Service Yrs10
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Factory Worker
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A