Fairfax Cryobank
Donor SAMPLE Personal Profile


Donor Information
Personal Information
Academics
Military
Infectious Disease Tests
Genetic Tests
Physical Features And Measurements
Physical Aids
Facial Features
Family Information
Donor's Father
Donor's Mother
Donor's Sibling(s)
Father's Siblings
Mother's Siblings
Father's Parents
Mother's Parents


Donor values are

BOLDED AND LIGHT BLUE



Personal Information


Personality Characteristics (Keirsey Temperament Sorter)
EXTRAVERSION INTROVERSION MIXED
SENSATION INTUITION MIXED
THINKING FEELING MIXED
PERCEIVING JUDGING MIXED
Personality Type ISXJ


Talents
Voice BASS
Instrument TROMBONE
Years Experience 10
Other
Years Experience


Favorites
Color BLUE
Food SEAFOOD
Music JAZZ
Animal CHEETAH
Pet GREYHOUND
Car BRONCO
Movie CHARIOTS OF FIRE
Song IT'S A WONDERFUL WORLD
Play CHICAGO


Goals
Academic DOCTORATE IN EXERCISE PHYSIOLOGY
Professional RESEARCH AND TEACHING AT UNIVERSITY LEVEL
Personal TO BE A GOOD HUSBAND AND FATHER


Religion
Faith CHRISTIAN
Other Faith
Denomination CHURCH OF CHRIST


Languages
Speak ENGLISH
Read ENGLISH
Write ENGLISH


Sports
Play RACQUETBALL, COMPETITIVE ROWER, CYCLING
Watch BASEBALL, FOOTBALL


Siblings
Number Of Brothers 0
Number Of Sisters 1
Twin Yourself? YES
Twin Type FRATERNAL
Number Of Identical Twins In Family
Number Of Fraternal Twins In Family 2


Academics


Standard Tests
SAT
ACT 31
GRE 1300
MCAT
LSAT
GMAT
TOEFL
Other
High School GPA 3.91
High School Scale 4.00
College GPA 4.00
College Scale 4.00
Graduate GPA 4.00
Graduate Scale 4.00


Subjects
Major CARDIOVASCULAR PHYSIOLOGY
Minor


Degrees
Bachelors EXERCISE PHYSIOLOGY
Masters EXERCISE PHYSIOLOGY
Doctors IN PROGRESS
Others


Awards and Activities
High School ALL CONF. FOOTBALL, ALL REGIONAL TRACK
College FRESHMAN CHEM. AWARD, PRES. SCHOLAR.
Academic
Professional
Political
Personal PUBLIC SPEAKING ON RESEARCH TOPIC
Charitable SCOUT MASTER
Others MEDALIST, NATIONAL ROWING CHAMPIONSHIP


Military
Served NO
Branch
Rank
Years Of Service


Infectious Disease Tests
HIV-1 AND HIV-2 ANTIBODY (AIDS)
HIV BY PCR (AIDS)
HEPATITIS B CORE ANTIBODY
HEPATITIS B SURFACE ANTIBODY
HEPATITIS C ANTIBODY
SGOT (LIVER FUNCTION)
SGPT (LIVER FUNCTION)
HTLV-I (HUMAN T LYMPHOCYTE VIRUS)
CMV (CYTOMEGALOVIRUS)
SYPHILIS
CHLAMYDIA
MYCOPLASMA
GONOCOCCUS


Genetic Tests
KARYOTYPE (CHROMOSOME ANALYSIS)
CYSTIC FIBROSIS
COLORBLINDNESS
TAY SACHS


Physical Features
Hands AMBIDEXTROUS
Fingers MEDIUM
Neck 16.5
Chest 46
Inseam 36
Waist 30
Sleeve 36
Wrist 6.5
Hat 7 1/4
Shoe 10.5


Physical Aids
Vision NORMAL
Glasses NONE
Astigmatism NO
Age Diagnosed
Dental Device BRACES
Other Dental Device
Reason For Use COSMETIC
Other Reason For Use
Age During Use 13 to 15
Other
Reason(Cause)


Facial Features


Eyes
Set NARROW AVERAGE WIDE
Size SMALL AVERAGE LARGE
Shape ROUND OVAL ALMOND
Color BROWN BLUE HAZEL GREEN
Shade LIGHT MEDIUM DARK
Eyebrows
Arc FLAT MEDIUM HIGH
Thickness THIN MEDIUM THICK
Set NARROW AVERAGE WIDE
Nose
Size SMALL MEDIUM LARGE
Width NARROW AVERAGE WIDE
Length SHORT AVERAGE LONG
Bridge CONCAVE STRAIGHT CONVEX
Nostril Flare SMALL AVERAGE WIDE
Septum THIN AVERAGE THICK
Cheekbones
Set LOW AVERAGE HIGH
Prominence SLIGHT MEDIUM STRONG
Mouth
Size SMALL AVERAGE LARGE
Lips THIN AVERAGE FULL
Turn DOWNWARD STRAIGHT UPWARD
Teeth
Size SMALL MEDIUM LARGE
Set UNDERBITE EVEN OVERBITE
Chin
Shape SQUARE OVAL ROUND
Prominence SLIGHT AVERAGE STRONG
Chin Cleft NONE SLIGHT MEDIUM STRONG
Ears
Size SMALL AVERAGE LARGE
Set HIGH AVERAGE LOW
Angle FLAT AVERAGE ACUTE
Lobe Size SMALL MEDIUM LARGE
Attachment ATTACHED DETACHED
Hair
Color At Birth BLOND BROWN BLACK RED
Other Color At Birth
Color Presently BLOND BROWN BLACK RED
Other Color Presently
Shade LIGHT MEDIUM DARK
Type STRAIGHT WAVY CURLY
Fullness THIN MEDIUM THICK
Texture THIN MEDIUM COARSE
Skin
Tone LIGHT MED-LIGHT MEDIUM MED-DARK DARK
Tan Ability NONE SLIGHT MEDIUM EASY
Condition OILY MEDIUM DRY COMBINATION
Hairline
Forehead Set LOW AVERAGE HIGH
Contour STRAIGHT SLIGHT CURVE WIDOW PEAK
Other Facial Features
Moles NONE ONE SEVERAL NUMEROUS
Freckles NONE SEVERAL MODERATE NUMEROUS
Dimples NONE SLIGHT MEDIUM DEEP
Adam's Apple SLIGHT MEDIUM STRONG
Facial Hair Thickness THIN MEDIUM DENSE
Facial Hair Shade LIGHT MEDIUM DARK



Donor's Father


Education
Level COLLEGE
Degree
Other Degree
Subject 3 YEARS COLLEGE
Occupation DESIGNER
Religion
Faith CHRISTIAN
Other Faith
Denomination CHURCH OF CHRIST
Languages
Speak GERMAN, ENGLISH
Read GERMAN, ENGLISH
Write GERMAN, ENGLISH
Talents
Voice BASS
Instrument PIANO
Years Experience 10
Other
Years Experience
Physical Information
Age 60
Height 5'11
Weight 165
Hands RIGHT-HANDED
Primary Ethnic Origins GERMAN


Eyes
Color BROWN BLUE HAZEL GREEN
Shade LIGHT MEDIUM DARK
Vision
Glasses SINGLE
Astigmatism
Age Diagnosed
Hair
Original Color BLOND BROWN BLACK RED
Other Original Color
Type STRAIGHT WAVY CURLY
Age Turned Gray 50
Skin
Tone LIGHT MED-LIGHT MEDIUM MED-DARK DARK
Condition OILY MEDIUM DRY COMBINATION
Other
Chin Cleft NONE SLIGHT MEDIUM STRONG
Ear Lobe ATTACHED DETACHED
Dimples NONE SLIGHT MEDIUM DEEP


Military
Served YES
Branch ARMY
Rank ?
Years Of Service 2



Donor's Mother


Education
Level COLLEGE
Degree
Other Degree
Subject 3 HOURS SHORT OF NURSING DEGREE
Occupation NONE
Religion
Faith CHRISTIAN
Other Faith
Denomination CHURCH OF CHRIST
Languages
Speak ENGLISH
Read ENGLISH
Write ENGLISH
Talents
Voice SOPRANO
Instrument
Years Experience
Other
Years Experience
Physical Information
Age 50
Height 5'4
Weight 140
Hands RIGHT-HANDED
Primary Ethnic Origins ENGLISH


Eyes
Color BROWN BLUE HAZEL GREEN
Shade LIGHT MEDIUM DARK
Vision NORMAL
Glasses NONE
Astigmatism NO
Age Diagnosed
Hair
Original Color BLOND BROWN BLACK RED
Other Original Color
Type STRAIGHT WAVY CURLY
Age Turned Gray 40
Skin
Tone LIGHT MED-LIGHT MEDIUM MED-DARK DARK
Condition OILY MEDIUM DRY COMBINATION
Other
Chin Cleft NONE SLIGHT MEDIUM STRONG
Attachment ATTACHED DETACHED
Dimples NONE SLIGHT MEDIUM DEEP


Military
Served NO
Branch
Rank
Years Of Service



Donor's Siblings


Sibling #1


Physical Information
Sibling Type FULL
Sex F
Age 22
Height 5'3
Weight 105
Hands RIGHT-HANDED
Education
Level COLLEGE
Degree
Other Degree
Subject JUNIOR IN PSYCHOLOGY
Occupation COLLEGE STUDENT
Religion
Faith CHRISTIAN
Other Faith
Denomination CHURCH OF CHRIST
Languages
Speak ENGLISH
Read ENGLISH
Write ENGLISH
Talents
Voice SOPRANO
Instrument
Years Experience
Other
Years Experience
Children
Number of Boys 0
Boys Ages
Number of Girls 0
Girls Ages


Eyes
Color BROWN BLUE HAZEL GREEN
Shade LIGHT MEDIUM DARK
Vision NORMAL
Glasses NONE
Astigmatism NO
Age Diagnosed
Hair
Original Color BLOND BROWN BLACK RED
Other Original Color
Type STRAIGHT WAVY CURLY
Age Turned Gray
Skin
Tone LIGHT MED-LIGHT MEDIUM MED-DARK DARK
Condition OILY MEDIUM DRY COMBINATION
Other
Chin Cleft NONE SLIGHT MEDIUM STRONG
Ear Lobe ATTACHED DETACHED
Dimples NONE SLIGHT MEDIUM DEEP


Military
Served NO
Branch
Rank
Years Of Service



Father's Siblings


Brothers
Number Of Brothers 1
Ages 62
Educations
Occupations LUXURY CAR SALES-OWNER
Religions CATHOLIC
Children(Males) 1
Children(Females)


Sisters
Number Of Sisters 0
Ages
Educations
Occupations
Religions
Children(Males)
Children(Females)



Mother's Siblings


Brothers
Number Of Brothers 3
Ages 40-54
Educations 2 COLLEGE GRADS., 1 HS GRAD
Occupations LAND DEVELOPER, CONSTRUCTION WORKER
Religions
Children(Males) 3
Children(Females) 3


Sisters
Number Of Sisters 2
Ages 38, 41
Educations HS GRAD., COLLEGE GRAD.
Occupations HOMEMAKER, MEDICAL PRACTICE ADMINISTRATOR
Religions CHRISTIAN
Children(Males) 3
Children(Females) 3



Father's Parents


Father
Education
Degree
Subject
Occupation AIRPLANE CONSTRUCTION FOREMAN
Primary Ethnic Origins GERMAN
Number Of Brothers 1
Number Of Sisters 1
Languages GERMAN , ENGLISH
Religion
Military Branch
Military Rank
Years Of Service


Mother
Education
Degree
Subject
Occupation HOUSEWIFE
Primary Ethnic Origins GERMAN
Number Of Brothers
Number Of Sisters
Languages ENGLISH
Religion CHRISTIAN
Military Branch
Military Rank
Years Of Service



Mother's Parents


Father
Education
Degree
Subject
Occupation CONSTRUCTION, PREACHER
Primary Ethnic Origins ENGLISH
Number Of Brothers 2
Number Of Sisters 2
Languages
Religion
Branch
Rank
Years Of Service


Mother
Education
Degree
Subject
Occupation HOUSEWIFE, BANK SECRETARY
Primary Ethnic Origins ENGLISH
Number Of Brothers 3
Number Of Sisters 2
Languages ENGLISH
Religion CHRISTIAN
Branch
Rank
Years Of Service