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:Baritone
Instrument:
Years of experience:		None
Other talents:
Years of experience		Writing - 6
Favorite:
ColorRed
FoodTacos
MusicAlternative Rock
AnimalTiger
PetCat
CarMini Cooper
MovieThe Dark Knight
Song"Run for Cover" by The Killers
PlayA Spring Awakening
Goals:
AcademicGraduation from pharmacy school
Professional Make a difference in the lives of my patients
PersonalWrite a novel
Religion:
Faith Christian
Denomination Presbyterian
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayRunning, Soccer
WatchSoccer, Hockey, College Football
Siblings:
# Brothers0
# Sisters3
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		2010 - 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		PCAT - 97th Percentile
High School
Question Response on scale of
GPA
on scale of 		3.964.0
College
Question Response on scale of
GPA
on scale of 		3.374.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.544.0
Subjects Studied:
Major subjectsPharmacy
Minor subjectsCreative Writing
Degrees
Bachelor'sBS/Biochemistry
Master'sN/A
DoctoratePursuing PharmD
Other(s)N/A
Awards & Activities
High schoolPSAT Honored Scholar, Honor Roll
CollegeN/A
AcademicN/A
Professional N/A
Political N/A
Personal Reading, Writing
Charitable N/A
OthersYoga, Video gaming

Military

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

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)14.5
Chest (inches)37
Inseam (inches)30
Waist (inches)29
Sleeve (inches)33
Wrist (inches)6.25
Hat size7
Shoe size9.5

Physical Aids

Eyes:
Vision Far-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts8
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
OccupationLawyer
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectLaw
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Ecuadorian, German (Jewish)
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		Writing, Running - 20, 20
Donor's Father Physical Information
Body
Age50
Height5'9"
Weight150 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		18
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionDry
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryYes
BranchArmy
RankColonel
Years of service20
Donor's Mother Personal Information
Occupation Physical Therapist
Donor's Mother Education:
LevelGraduate school
DegreeDoctorate
SubjectPhysical Therapy
Donor's Mother Religion:
Faith Christian
Denomination Presbyterian
Primary ethnic origins:Scandinavian, English
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano - 10
Other
yrs experience		Running - 10
Donor's Mother Physical Information
Body
Age51
Height5'6"
Weight120 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionDry
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesSlight
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
Age18
Height5'7"
Weight120 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectCommunication
Religion:
Faith Christian
Denomination Presbyterian
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Flute - 4
Other
Years of experience		Writing - 6
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age17
Height5'6"
Weight110 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelHigh school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Presbyterian
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
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 cleftSlight
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexFemale
Age11
Height5'0"
Weight95 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Presbyterian
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorHazel
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesMedium
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:30
Education levels for each:Bachelor's
Occupations for each:Marketing
Religions for each:Jewish
Father's Brothers' Total Children:
# BoysN/A
# GirlsN/A
Father's Sisters
# of Sisters2
Ages of Sisters:32, 26
Education levels for each:Master's, Master's
Occupations for each:Teacher, Public Health Worker
Religions for each:Jewish, Jewish
Father's Sisters' Total Children:
# BoysN/A
# GirlsN/A
Mother's Siblings
Mother's Sisters
# Sisters2
Ages of Sisters:56, 54
Education levels for each:Master's, High school
Occupations for each:Teacher, Banking
Religions for each:Christian, Christian
Mother's Sisters' Total Children:
# Boys2
# Girls1
Father's Parents
Father's Father
Education
LevelGraduate
DegreeDoctorate
SubjectMedicine
Occupation:Doctor
Primary ethnic origins:German (Jewish)
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Typist
Primary ethnic origins:Ecuadorian
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish, Spanish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Parents
Mother's Father
Education
LevelGraduate
DegreeMaster's
SubjectAerospace Engineering
Occupation:Aerospace Engineer
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Mother
Education
LevelCollege
DegreeBachelor's
SubjectTeaching
Occupation:Teacher
Primary ethnic origins:Scandinavian
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A