Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | Violin - 10 |
| Other talents: Years of experience | Soccer - 17 |
Favorite:
| Color | Red |
| Food | Mediterranean |
| Music | Classic Rock, EDM, Pop, Rap |
| Animal | Cheetah |
| Pet | Dog |
| Car | Aston Martin Vanquish |
| Movie | Goodfellas |
| Song | "Take Me Home, Country Roads" |
| Play | Much Ado About Nothing |
Goals:
| Academic | Be published; Be able to hold a conversation about almost anything |
| Professional | Find something that pays well and transcends the work-life dichotomy |
| Personal | Be interesting |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | English, French |
| Read | English, French |
| Write | English, French |
Sports:
| Play | Soccer, Basketball, Hockey, Track & Field |
| Watch | Soccer, Basketball, Hockey, American Football |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
| Are you a twin? Identical or fraternal? | No |
| # of twins in your family | 0 |
| # Identical sets | 0 |
| # Fraternal sets | 0 |
Academics
Standard Test Score: provide score or denote N/A if not taken
| SAT on scale of | 2290 - 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 | 3.7 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.83 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Biology, Geography, Economics |
| Minor subjects | French |
Degrees
| Bachelor's | BA/Global Studies, Biology (double major) |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Won class superlative for best combination of beauty and brains, Student government, Played three varsity sports |
| College | Graduated with distinction, Won a major club sport national championship |
| Academic | Graduated in top 10% of high school class |
| Professional | Work for a large consulting firm |
| Political | N/A |
| Personal | Have had original fictional work published in literary reviews |
| Charitable | Currently volunteer for a large local social organization |
| Others | Continue to play on a variety of recreational sports leagues |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Right-Handed |
| Fingers | Medium |
Sizes & Measurements
| Neck (inches) | 15 |
| Chest (inches) | 45 |
| Inseam (inches) | 33 |
| Waist (inches) | 34 |
| Sleeve (inches) | 30 |
| Wrist (inches) | 6 |
| Hat size | 7.5 |
| Shoe size | 12 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 12-14 |
Other Physical Aids:
| List | None |
| Reason/cause | N/A |
Facial Features
Eyes:
| Set |
|
| Size |
|
| Shape |
|
| Color |
|
| Shade |
|
Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
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| Thickness |
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| Set |
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Thin
Average
ThickNose:
| Size |
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| Shape |
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| Width |
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| Length |
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| Bridge |
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| Nostril flare |
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| Septum |
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Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
| Prominence |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
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| Set |
|
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
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| Type |
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| Fullness |
|
| Texture |
|
Skin:
| Tone |
|
| Tan ability |
|
| Condition |
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Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| Dimples |
|
| Adam's apple |
|
Facial Hair
| Thickness |
|
| Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Architect |
Donor's Father Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Architecture |
Donor's Father Religion:
| Faith | None |
| Denomination | N/A |
| Primary ethnic origins: | German, Irish |
Donor's Father Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Father Talents:
| Voice | Tenor |
| Instrument yrs experience | None |
| Other yrs experience | Rock climbing - 15 |
Donor's Father Physical Information
Body
| Age | 58 |
| Height | 6'1" |
| Weight | 190 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Light |
| Vision | Far-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 40 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | 55 |
| Type | Wavy |
Skin:
| Skin Tone | Light |
| Skin Condition | Dry |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | Slight |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Mother Personal Information
| Occupation | Project Manager |
Donor's Mother Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Architecture |
Donor's Mother Religion:
| Faith | None |
| Denomination | N/A |
| Primary ethnic origins: | Irish, Italian |
Donor's Mother Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | Violin - 5 |
| Other yrs experience | Art - 20 |
Donor's Mother Physical Information
Body
| Age | 58 |
| Height | 5'4" |
| Weight | 120 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 30 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin Tone | MedL |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | Slight |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Sex | Male |
| Age | 19 |
| Height | 5'9" |
| Weight | 150 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Student |
Education:
| Level | College |
| Degree | Pursuing |
| Subject | Engineering |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | English, French |
| Read | English, French |
| Write | English, French |
Talents:
| Voice | Tenor |
| Instrument Years of experience | Violin - 10 |
| Other Years of experience | Soccer - 13 |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Blue |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | Light |
| Skin condition | Combination |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | Slight |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Sibling #2
| Full/Half sibling | Full |
Sibling #2 Physical Information
Body
| Sex | Female |
| Age | 15 |
| Height | 5'6" |
| Weight | 120 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Student |
Education:
| Level | High school |
| Degree | Pursuing |
| Subject | General Studies |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | Violin - 7 |
| Other Years of experience | Soccer - 10 |
Sibling #2 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Light |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Blond |
| If gray, age turned gray | N/A |
| Type | Curly |
Skin:
| Skin tone | Light |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | Slight |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Father's Siblings
Father's Brothers
| # of Brothers | 3 |
| Ages of Brothers: | 61, 55, 53 |
| Education levels for each: | Graduate, College, Graduate |
| Occupations for each: | Business Executive, Factory Manager, Finance |
| Religions for each: | Catholic, Protestant, None |
Father's Brothers' Total Children:
| # Boys | 6 |
| # Girls | 2 |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 54 |
| Education levels for each: | Graduate |
| Occupations for each: | Healthcare Consultant |
| Religions for each: | None |
Father's Sisters' Total Children:
| # Boys | N/A |
| # Girls | 1 |
Mother's Siblings
Mother's Brothers
| # Brothers | 1 |
| Ages of Brothers: | 54 |
| Education levels for each: | Graduate |
| Occupations for each: | Engineer |
| Religions for each: | Catholic |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Mother's Sisters
| # Sisters | 2 |
| Ages of Sisters: | 56, 52 |
| Education levels for each: | College, Graduate |
| Occupations for each: | Physical Therapist, Physician |
| Religions for each: | Protestant, Catholic |
Mother's Sisters' Total Children:
| # Boys | 2 |
| # Girls | 2 |
Father's Parents
Father's Father
Education
| Level | College |
| Degree | Bachelor's |
| Subject | Engineering |
| Occupation: | Engineer |
| Primary ethnic origins: | Irish |
Siblings:
| # Brothers | 1 |
| # Sisters | 2 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | Marines |
| Rank | Unknown |
| Service Yrs | 1 |
Father's Mother
Education
| Level | College |
| Degree | Bachelor's |
| Subject | Unknown |
| Occupation: | Real Estate |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 1 |
| # Sisters | 2 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
| Level | College |
| Degree | Bachelor's |
| Subject | Engineering |
| Occupation: | Engineer |
| Primary ethnic origins: | Italian |
Siblings:
| # Brothers | 1 |
| # Sisters | 3 |
Other:
| Languages | English, Italian |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Mother
Education
| Level | College |
| Degree | Bachelor's |
| Subject | Unknown |
| Occupation: | Homemaker |
| Primary ethnic origins: | Irish |
Siblings:
| # Brothers | 2 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |