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:		Trumpet, Drums - 12, 6
Other talents:
Years of experience		Cooking - 12
Favorite:
ColorBlue
FoodOysters
MusicMost
AnimalLeopard
PetDog
CarDodge Challenger
MovieBack to the Future
Song"Stranger Things Have Happened"
PlayChicago
Goals:
AcademicObtain master's
Professional Retire before age 55
PersonalHappiness
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayBaseball, Basketball, Football
WatchBaseball, Football, Hockey, Basketball
Siblings:
# Brothers2
# Sisters0
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		1210 - out of 1600
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 		2.84.0
College
Question Response on scale of
GPA
on scale of 		4.04.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsPsychology
Minor subjectsN/A
Degrees
Bachelor'sN/A
Master'sN/A
DoctorateN/A
Other(s)Pursuing AA/Psychology
Awards & Activities
High schoolVarsity football and baseball
CollegeN/A
AcademicN/A
Professional Army service medal
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

Served in militaryYes
BranchArmy
RankE-4
Years of service4

Physical Features

HandsAmbidextrous
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)40
Inseam (inches)32
Waist (inches)32
Sleeve (inches)33
Wrist (inches)6
Hat size7.5
Shoe size11

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
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
OccupationMusician
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectArts
Donor's Father Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Welsh, Swiss
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Trumpet - 60
Other
yrs experience		None
Donor's Father Physical Information
Body
Age68
Height5'9''
Weight200 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts
yrs		30
Hair:
Original hair color Blond
If gray, age turned gray55
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryYes
BranchArmy
RankE-9
Years of service26
Donor's Mother Personal Information
Occupation Office Manager
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectBusiness
Donor's Mother Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Norwegian, English
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age59
Height5'6''
Weight140 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		40
Hair:
Original hair color Blond
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 serviceN/A
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age40
Height5'10''
Weight170 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Government Contractor
Education:
LevelCollege
DegreeDoctorate
SubjectEducation
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Trumpet - 36
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1 - 4
# Girls
Ages:		2 - 6, 2
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
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryYes
BranchArmy
RankE-7
Years of service16
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexMale
Age38
Height5'10''
Weight170 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Vice-principal
Education:
LevelCollege
DegreeDoctorate
SubjectEducation
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Trumpet - 17
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		1 - 9
# Girls
Ages:		1 - 11
Sibling #2 Facial Features
Eyes:
Eye colorBlue
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Blond
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 serviceN/A
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:72
Education levels for each:College
Occupations for each:Musician
Religions for each:None
Father's Brothers' Total Children:
# Boys1
# Girls1
Father's Sisters
# of Sisters1
Ages of Sisters:73
Education levels for each:High school
Occupations for each:Homemaker
Religions for each:None
Father's Sisters' Total Children:
# Boys2
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:67, 64, 52
Education levels for each:College, High school, High school
Occupations for each:Attorney, Business Owner, Maintenance Worker
Religions for each:Christian (all)
Mother's Brothers' Total Children:
# Boys4
# Girls1
Mother's Sisters
# Sisters3
Ages of Sisters:54 (deceased), 57, 50
Education levels for each:College, High school, College
Occupations for each:Educator, Homemaker, Contractor
Religions for each:Christian, None, None
Mother's Sisters' Total Children:
# Boys8
# Girls1
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectEducation
Occupation:Educator
Primary ethnic origins:Swiss
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankE-5
Service Yrs9
Father's Mother
Education
LevelCollege
DegreeAssociate's
SubjectNursing
Occupation:Nurse
Primary ethnic origins:Welsh
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Cook
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankE-8
Service Yrs20
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Norwegian
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0