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:		I can play most percussion instruments and play the drum set well. - 27
Other talents:
Years of experience		Woodworking - 5
Favorite:
ColorOrange and Blue
FoodI love tacos and chili
MusicPretty much anything but death metal
AnimalDogs
PetDog
Car2002 Nissan Skyline R34
MovieGladiator and The Princess Bride
SongI Got You by White Buffalo
PlayN/A
Goals:
AcademicFinish my Masters in Cyber Security
Professional Start my own LLC
PersonalBecome more spontaneous
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayAny
WatchFootball, Baseball, Golf, and some soccer.
Siblings:
# Brothers0
# Sisters1
Are you a twin?
Identical or fraternal?		No
# of twins in your family2
# Identical sets2
# 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		28 - 36
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 		2.74.0
College
Question Response on scale of
GPA
on scale of 		3.274.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsElectrical Engineering, IT Management, Cyber Security
Minor subjectsN/A
Degrees
Bachelor'sPursuing BS/ IT Management
Master'sN/A
DoctorateN/A
Other(s)Associates IT Management
Awards & Activities
High schoolAll conference honorable mention for football
CollegeDeans list first year for Electrical Engineering.
AcademicSame as college.
Professional Employee of the month once, received many awards for helping co-workers when they needed it.
Political N/A
Personal Travel, Camping, Woodworking, Percussion
Charitable N/A
OthersReading fiction, Hiking, Volleyball, Swimming

Military

Served in militaryYes
BranchAir National Guard
RankTechnical Sergeant
Years of service8

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)17.5
Chest (inches)42
Inseam (inches)34
Waist (inches)34
Sleeve (inches)26
Wrist (inches)7.5
Hat size7
Shoe size12

Physical Aids

Eyes:
Vision Near-Sighted
GlassesNone
AstigmatismYes
Age started wearing glasses/contactsN/A
Laser surgery?Yes
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
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
OccupationSteal Worker
Donor's Father Education:
LevelTrade school
DegreeOther
SubjectN/A
Donor's Father Religion:
Faith Other
Denomination N/A
Primary ethnic origins:Norway and Ukraine
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Father Physical Information
Body
Age57
Height6'
Weight185 lbs
HandsRight-Handed
Donor's Father 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 ConditionCombination
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Physical Therapist Assistant
Donor's Mother Education:
LevelCollege
DegreeAssociate
SubjectPhysical Therapy
Donor's Mother Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:Finish, German, Irish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Mother Physical Information
Body
Age55
Height5'9"
Weight135
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts
yrs		6 - 50
Hair:
Original hair color Blond
If gray, age turned graynone
TypeStraight
Skin:
Skin ToneMed
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeAttached
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
SexFemale
Age30
Height5'9"
Weight145
HandsRight-Handed
Sibling #1 Personal Information
Occupation Cancer Registry
Education:
LevelCollege
DegreeBachelor
SubjectHealth Information Management
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish/Spanish
ReadEnglish/Spanish
WriteEnglish/Spanish
Talents:
VoiceAlto
Instrument
Years of experience		Saxophone - 10
Other
Years of experience		N/A
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorGreen
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts8
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Sisters
# of Sisters1
Ages of Sisters:60
Education levels for each:Doctorate
Occupations for each:Psychologist
Religions for each:N/A
Father's Sisters' Total Children:
# Boys1
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:60, 59, 55
Education levels for each:High school, Trade school, Trade school
Occupations for each:Unknown, Master Electrician, Electrician
Religions for each:Unknown, Christian, Christian
Mother's Brothers' Total Children:
# Boys4
# Girls3
Father's Parents
Father's Father
Education
LevelTrade School
DegreeN/A
SubjectN/A
Occupation:Steal Worker
Primary ethnic origins:Ukrainian
Siblings:
# Brothers8
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankCorporal
Service Yrs4
Father's Mother
Education
LevelHigh school
DegreeN/A
SubjectN/A
Occupation:House Wife
Primary ethnic origins:Norwegian
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Parents
Mother's Father
Education
LevelTrade School
DegreeN/A
SubjectN/A
Occupation:Heavy Equipment Operator
Primary ethnic origins:Irish
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Mother
Education
LevelN/A
DegreeN/A
SubjectN/A
Occupation:Waitress
Primary ethnic origins:Finish, German
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchN/A
RankN/A
Service YrsN/A