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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:Baritone
Instrument:
Years of experience:		Guitar - 8
Other talents:
Years of experience		Photography, Competitive running, Writing, Competitive cycling - 12, 10, 8, 5
Favorite:
ColorOrange
FoodSushi
MusicRock
AnimalDog
PetDog
CarGMC Sierra
Movie2001: A Space Odyssey
Song"Down by the River" by Neil Young
PlayCat on a Hot Tin Roof by Tennessee Williams
Goals:
AcademicTo earn a Master's degree in Film/photography.
Professional To work in the film industry.
PersonalTo be self-reliant. To ride a bicycle across every continent. To build a house.
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayCycling, Running, Basketball, Swimming, Ultimate Frisbee
WatchBasketball, Baseball
Siblings:
# Brothers1
# 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		1530 - out of 1600
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 		4.44.0
College
Question Response on scale of
GPA
on scale of 		3.74.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsCinema Studies
Minor subjectsProducing, English and American Literature
Degrees
Bachelor'sBA/Cinema Studies
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolNational Honor Society, County and conference champion in cross country and track
CollegeDean's List
AcademicN/A
Professional N/A
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)18
Chest (inches)44
Inseam (inches)32
Waist (inches)29
Sleeve (inches)34
Wrist (inches)6
Hat size7.5
Shoe size11

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts10
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use11-15
Other Physical Aids:
ListNone
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
OccupationElectrical Engineer
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectEngineering
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Italian, Polish
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age55
Height5'8"
Weight200 lbs
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
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 ToneMed
Skin ConditionMedium
Other:
Chin cleftMedium
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Professor
Donor's Mother Education:
LevelGraduate school
DegreeMaster
SubjectFashion Merchandising
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Italian, French
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age53
Height5'0"
Weight105 lbs
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		18
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesMedium
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
Age23
Height5'4"
Weight125 lbs
HandsRight-Handed
Sibling #1 Personal Information
Occupation Pharmacy student
Education:
LevelGraduate school
DegreePursuing
SubjectMS/Pharmacy
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorHazel
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts15
Hair:
Original hair color Brown
If gray, age turned grayNone
TypeStraight
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexMale
Age21
Height6'3"
Weight210 lbs
HandsRight-Handed
Sibling #2 Personal Information
Occupation Auto mechanic
Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies, Auto mechanic apprenticeship
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayNone
TypeStraight
Skin:
Skin toneMedDk
Skin conditionMedium
Other:
Chin cleftMedium
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers4
Ages of Brothers:56, 52, 50, 46
Education levels for each:Bachelor's, Bachelor's, Bachelor's, High school
Occupations for each:Businessman, Casino manager, Construction company manager, Auto mechanic
Religions for each:Catholic, Catholic, Catholic, Catholic
Father's Brothers' Total Children:
# Boys5
# Girls4
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:43
Education levels for each:Bachelor's
Occupations for each:Information technology
Religions for each:Catholic
Mother's Brothers' Total Children:
# Boys2
# Girls1
Mother's Sisters
# Sisters1
Ages of Sisters:52
Education levels for each:Bachelor's
Occupations for each:Accountant
Religions for each:Catholic
Mother's Sisters' Total Children:
# Boys2
# Girls1
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Business licensing inspector
Primary ethnic origins:Polish
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish, Polish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Secretary
Primary ethnic origins:Italian
Siblings:
# Brothers4
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Quality Control manager
Primary ethnic origins:Italian
Siblings:
# Brothers5
# Sisters2
Other:
LanguagesEnglish, Italian
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Accountant
Primary ethnic origins:Italian, French
Siblings:
# Brothers1
# Sisters5
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0