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:		Piano, Guitar, Clarinet, Drums - 25, 7, 7, 7
Other talents:
Years of experience		Visual arts, Cooking, Knitting, Skateboarding, Writing - 10+
Favorite:
ColorGreen
FoodBarbecue and Sushi
MusicJazz and Psych-pop
AnimalSongbirds
PetRabbit
CarMy first car, a gold 1989 Honda Prelude
MovieThe Little Prince (2015)
SongLovely Day by Bill Withers
PlayBeautiful: The Carole King Musical
Goals:
AcademicFinish my graduate music therapy and counseling program!
Professional Create an intergenerational music therapy program involving preschool children, older adults, and their caregivers
PersonalRaise a child with my partner; own a home and host a recurring open mic event
Religion:
Faith Other - Secular Humanist
Denomination Secular Humanist
Languages:
SpeakEnglish, French
ReadEnglish, French
WriteEnglish, French
Sports:
PlaySkateboarding, Tennis, Soccer, Swimming
WatchSkateboarding, Soccer, Snowboarding
Siblings:
# Brothers1
# 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		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 		3.54
College
Question Response on scale of
GPA
on scale of 		3.694
Graduate School
Question Response on scale of
GPA
on scale of 		4.04
Subjects Studied:
Major subjectsMusic Therapy and Counseling, English, Multimedia
Minor subjectsConflict Resolution
Degrees
Bachelor'sEnglish, Conflict Resolution
Master'sMusic Therapy and Counseling
DoctorateN/A
Other(s)Associates in Multimedia
Awards & Activities
High schoolQuill and Scroll Society, Skateboarding club
CollegeDean's Award
AcademicDean's Award
Professional ECE and music therapy conferences and trainings
Political Volunteering on campaigns
Personal Curating community art and music shows and events
Charitable Advocacy and mentoring in a variety of volunteer settings
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)19
Chest (inches)40
Inseam (inches)32
Waist (inches)34
Sleeve (inches)37
Wrist (inches)7.5
Hat size7.5
Shoe size11.5

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Laser surgery?Yes
Dental:
DeviceBraces
ReasonCosmetic
Age range during use13-15
Other Physical Aids:
ListN/A
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
OccupationProctor
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectBusiness Mangement
Donor's Father Religion:
Faith Christian
Denomination Baptist
Primary ethnic origins:English
Donor's Father Languages:
SpeakEnglish, French
ReadEnglish, French
WriteEnglish, French
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Djembe - 22 years
Other
yrs experience		Painting, Drawing, Public speaking, Videography - 25+ years
Donor's Father Physical Information
Body
Age54
Height6' 4"
Weight215
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		10 - 45
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Knitting Teacher, Store Manager
Donor's Mother Education:
LevelSome college
DegreeNot Completed
SubjectEarly childhood education
Donor's Mother Religion:
Faith Christian
Denomination Baptist
Primary ethnic origins:Polish, Scottish, English
Donor's Mother Languages:
SpeakEnglish, French
ReadEnglish, French
WriteEnglish, French
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano - 48
Other
yrs experience		Knitting, Cooking, Baking, Sewing - 40+
Donor's Mother Physical Information
Body
Age53
Height5' 5"
Weight190
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionMedium
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
SexMale
Age34
Height5' 11"
Weight170
HandsRight-Handed
Sibling #1 Personal Information
Occupation Groundskeeper
Education:
LevelCollege
DegreeAssociate
SubjectLiberal Arts
Religion:
Faith Christian
Denomination Baptist
Languages:
SpeakEnglish, German, Spanish, French
ReadEnglish, German, Spanish, French, Polish
WriteEnglish, German, Spanish, French
Talents:
VoiceTenor
Instrument
Years of experience		Guitar, Piano - 20, 7
Other
Years of experience		Drawing, Writing - 30
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts18
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:57
Education levels for each:Doctorate
Occupations for each:Optometrist
Religions for each:Christian
Father's Brothers' Total Children:
# Boys1
# Girls1
Mother's Siblings
Mother's Sisters
# Sisters1
Ages of Sisters:51
Education levels for each:High School
Occupations for each:Homemaker
Religions for each:Christian
Mother's Sisters' Total Children:
# Boys2
# GirlsN/A
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelors
SubjectBusiness
Occupation:Business Management
Primary ethnic origins:English
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelCollege
DegreeCertification
SubjectMassage Therapy
Occupation:Massage Therapist
Primary ethnic origins:English
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectN/A
Occupation:Warehouse Management
Primary ethnic origins:English, Scottish
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectN/A
Occupation:Administrative Assistant
Primary ethnic origins:Polish, English
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0