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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:Bass
Instrument:
Years of experience:		Piano - 2
Other talents:
Years of experience		Painting - 7+
Favorite:
ColorBlue
FoodItalian pasta
MusicClassic rock, Blues, Classical
AnimalTiger
PetDog
CarLincoln Town Car
Movie7 Years in Tibet
SongLittle Ivey by Jimmy Hendrix
PlayPhantom of the Opera
Goals:
AcademicTo finish my Bachelors degree in Environmental Biology and then continue on and obtain a Masters.
Professional To work in enviromentally related research, pursuing new methods of improving our relationship to our environment.
PersonalMost important to me is making a positive impact on the world around me. I'd like to do this through improving the environment, as well as through my relationships with my family and friends.
Religion:
Faith Other
Denomination Buddhist
Languages:
SpeakEnglish, some Spanish
ReadEnglish, some Spanish
WriteEnglish, some Spanish
Sports:
PlayWrestling, Football, Golf
WatchFootball, Golf
Siblings:
# Brothers0
# Sisters1
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 		3.64.0
College
Question Response on scale of
GPA
on scale of 		3.44.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsEnvironmental Biology
Minor subjectsPhilosophy, Ethics
Degrees
Bachelor'sPursuing BA/Environmental Biology
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolLettered in wrestling and weightlifting, Math competition, Won art competition
CollegePhilosophy club
AcademicN/A
Professional Special recognition for job related achievments
Political N/A
Personal Art competitions
Charitable Health related charity
OthersN/A

Military

Served in militaryNo
BranchN/A
RankN/A
Years of service0

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)37
Inseam (inches)32
Waist (inches)33
Sleeve (inches)34
Wrist (inches)7
Hat size7
Shoe size10

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?N/A
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListNone
Reason/causeNone

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
OccupationRespiratory therapist
Donor's Father Education:
LevelCollege
DegreeAssociate
SubjectRespiratory Therapy
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Czech, English
Donor's Father Languages:
SpeakEnglish, some German
ReadEnglish, some German
WriteEnglish, some German
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Flute - 4 years
Other
yrs experience		N/A
Donor's Father Physical Information
Body
Age58
Height6' 3"
Weight210
HandsAmbidextrous
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Normal
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		45
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Health unit coordinator
Donor's Mother Education:
LevelSome college
DegreeNot Completed
SubjectGeneral studies
Donor's Mother Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Irish, English
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano - 25 years
Other
yrs experience		N/A
Donor's Mother Physical Information
Body
Age57
Height5'2"
Weight135
HandsAmbidextrous
Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age24
Height5'4"
WeightUnknown
HandsRight-Handed
Sibling #1 Personal Information
Occupation Customer service
Education:
LevelCollege
DegreeOther
SubjectEsthetician
Religion:
Faith Christian
Denomination Undecided
Languages:
SpeakEnglish, German
ReadEnglish, German
WriteEnglish, German
Talents:
VoiceAlto
Instrument
Years of experience		Piano - 4
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:56
Education levels for each:Some college
Occupations for each:Mechanic
Religions for each:Christian
Father's Brothers' Total Children:
# Boys0
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:41, 58, 59
Education levels for each:Some college, Bachelors degree, Bachelors degree
Occupations for each:Sales associate, Computer technology, Computer technology
Religions for each:All Christian
Mother's Brothers' Total Children:
# Boys3
# Girls6
Mother's Sisters
# Sisters1
Ages of Sisters:45
Education levels for each:Some college
Occupations for each:Customer service
Religions for each:Christian
Mother's Sisters' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Farmer
Primary ethnic origins:Czech
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchNone
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Teachers assistant
Primary ethnic origins:English
Siblings:
# Brothers4
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchNone
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelCollege
DegreeBachelors
SubjectEducation
Occupation:Teacher
Primary ethnic origins:English, Irish
Siblings:
# Brothers2
# Sisters5
Other:
LanguagesEnglish, French
ReligionChristian
Military
BranchArmy
RankTech 5
Service Yrs4
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Nursing assistant
Primary ethnic origins:English, Irish
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchNone
RankN/A
Service Yrs0