Questions
Personal Information
Talents:
| Voice: | Baritone |
| Instrument: Years of experience: | Drums - 2 |
| Other talents: Years of experience | Acting - 5 |
Favorite:
| Color | Blue |
| Food | Japanese |
| Music | Rock |
| Animal | Elephant |
| Pet | Dog |
| Car | Porsche 356 Speedster |
| Movie | Forrest Gump |
| Song | Scenes from an Italian Restaurant |
| Play | Death of a Salesman |
Goals:
| Academic | MBA |
| Professional | Sell Company |
| Personal | Climb Everest |
Religion:
| Faith | None |
| Denomination | NA |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Sports:
| Play | Golf, Muay Thai, Wrestling, Soccer, Track, Boxing |
| Watch | Golf, F1, Football, Basketball |
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 | 1200 - 1600 |
| ACT on scale of | 27 - 36 |
| GRE on scale of | NA |
| MCAT on scale of | NA |
| LSAT on scale of | NA |
| GMAT on scale of | 600 - 800 |
| TOEFL on scale of | NA |
| Other on scale of | NA |
High School
| Question | Response | on scale of |
| GPA on scale of | 3.2 | 4 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.6 | 4 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | 3.7 | 4 |
Subjects Studied:
| Major subjects | Economics |
| Minor subjects | Radio, TV, Film |
Degrees
| Bachelor's | Economics (BA) |
| Master's | MBA (Management Focus) |
| Doctorate | NA |
| Other(s) | NA |
Awards & Activities
| High school | Prom King |
| College | NA |
| Academic | NA |
| Professional | NA |
| Political | NA |
| Personal | NA |
| Charitable | NA |
| Others | NA |
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) | 38 |
| Inseam (inches) | 32 |
| Waist (inches) | 32 |
| Sleeve (inches) | 33 |
| Wrist (inches) | 7 |
| Hat size | 7 |
| Shoe size | 9 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| Laser surgery? | No |
Dental:
| Device | Braces and Retainer |
| Reason | Cosmetic |
| Age range during use | 12-15 |
Other Physical Aids:
| List | NA |
| Reason/cause | NA |
Facial Features
Eyes:
| Set |
|
| Size |
|
| Shape |
|
| Color |
|
| Shade |
|
Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
|
| Thickness |
|
| Set |
|
Thin
Average
ThickNose:
| Size |
|
| Shape |
|
| Width |
|
| Length |
|
| Bridge |
|
| Nostril flare |
|
| Septum |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
| Prominence |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| 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 |
|
| Type |
|
| Fullness |
|
| Texture |
|
Skin:
| Tone |
|
| Tan ability |
|
| Condition |
|
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 | Oil and Gas Executive |
Donor's Father Education:
| Level | Graduate school |
| Degree | Master |
| Subject | MBA |
Donor's Father Religion:
| Faith | Christian |
| Denomination | NA |
| Primary ethnic origins: | English, German |
Donor's Father Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Father Talents:
| Voice | Baritone |
| Instrument yrs experience | Trombone - 12 |
| Other yrs experience | NA |
Donor's Father Physical Information
Body
| Age | 66 |
| Height | 6' |
| Weight | 185 lbs |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Blue |
| Eye shade | Light |
| Vision | Normal |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 60 - 6 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | 63 |
| Type | Wavy |
Skin:
| Skin Tone | MedL |
| Skin Condition | Medium |
Other:
| Chin cleft | Medium |
| Ear lobe | Detached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Mother Personal Information
| Occupation | Interior Designer |
Donor's Mother Education:
| Level | College |
| Degree | Bachelor |
| Subject | Marketing |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | NA |
| Primary ethnic origins: | English, Scottish |
Donor's Mother Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | N/A |
| Other yrs experience | N/A |
Donor's Mother Physical Information
Body
| Age | 65 |
| Height | 5'4" |
| Weight | 100 lbs |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Vision | Normal |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 58 - 7 |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | NA |
| Type | Straight |
Skin:
| Skin Tone | MedL |
| Skin Condition | Medium |
Other:
| Chin cleft | Slight |
| Ear lobe | Attached |
| Facial Dimples | None |
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 | 21 |
| Height | 6' |
| Weight | 160 |
| Hands | Left-Handed |
Sibling #1 Personal Information
| Occupation | Student |
Education:
| Level | College |
| Degree | Pursuing |
| Subject | Finance |
Religion:
| Faith | Christian |
| Denomination | NA |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Tenor |
| Instrument Years of experience | Guitar - 5 |
| Other Years of experience | Sports - 15 |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Dark |
| Vision | Normal |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 20 |
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 | Detached |
| Facial dimples | None |
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 (passed away) |
| Age | 16 |
| Height | 5'5" |
| Weight | 110 |
| Hands | Left-Handed |
Sibling #2 Personal Information
| Occupation | Passed away |
Education:
| Level | High school |
| Degree | Not Completed |
| Subject | General |
Religion:
| Faith | Christian |
| Denomination | NA |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Alto |
| Instrument Years of experience | N/A |
| Other Years of experience | Soccer - 12 |
Sibling #2 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Blue |
| 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 | Wavy |
Skin:
| Skin tone | MedL |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| 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 | 1 |
| Ages of Brothers: | 70 |
| Education levels for each: | College |
| Occupations for each: | Media |
| Religions for each: | Christian |
Father's Brothers' Total Children:
| # Boys | 1 |
| # Girls | N/A |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 64, 60 |
| Education levels for each: | College, High School |
| Occupations for each: | Finance, Pilot |
| Religions for each: | Christian, Christian |
Mother's Brothers' Total Children:
| # Boys | N/A |
| # Girls | 2 |
Father's Parents
Father's Father
Education
| Level | College |
| Degree | Bachelors |
| Subject | Engineering |
| Occupation: | Engineer |
| Primary ethnic origins: | English, German |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | Army |
| Rank | NA |
| Service Yrs | 6 |
Father's Mother
Education
| Level | College |
| Degree | Bachelors |
| Subject | Business |
| Occupation: | Real Estate |
| Primary ethnic origins: | English |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | NA |
| Rank | NA |
| Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
| Level | Graduate School |
| Degree | JD |
| Subject | Law |
| Occupation: | Multiple Businesses, Rancher |
| Primary ethnic origins: | English |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | Air Force |
| Rank | N/A |
| Service Yrs | 8 |
Mother's Mother
Education
| Level | College |
| Degree | Bachelors |
| Subject | Liberal Arts |
| Occupation: | Homemaker |
| Primary ethnic origins: | Scottish |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Christian |
Military
| Branch | NA |
| Rank | NA |
| Service Yrs | 0 |