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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:		Trombone - 5
Other talents:
Years of experience		Writing - 15
Favorite:
ColorGreen
FoodMiddle Eastern
MusicFolk
AnimalDog
PetDog
CarMaserati M12
MovieGood Will Hunting
Song"Angie" by the Rolling Stones
PlayMacbeth by Shakespeare
Goals:
AcademicTo earn a PhD in Security Studies and Anti-Terrorism
Professional To become a national security expert
PersonalTo become a published author
Religion:
Faith Jewish
Denomination Traditional
Languages:
SpeakEnglish, Hebrew
ReadEnglish, Hebrew
WriteEnglish, Hebrew
Sports:
PlayBasketball, Swimming, Running, Golf
WatchBaseball, Football
Siblings:
# Brothers1
# Sisters0
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		1280 - 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 		4.04.0
College
Question Response on scale of
GPA
on scale of 		3.174.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsGovernment
Minor subjectsClassical Civilizations (Greece, Rome)
Degrees
Bachelor'sBA/Government
Master'sN/A
DoctorateN/A
Other(s)High School diploma
Awards & Activities
High schoolNational Honor Society President, Social Studies Honor Society
CollegeInternational student ambassador
AcademicGovernment debate society
Professional Most Outstanding Soldier
Political Independent
Personal Accomplished essayist
Charitable March of the Living, United Way volunteer
OthersWeb design

Military

Served in militaryYes
BranchInfantry
RankSergeant
Years of service2

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)16
Chest (inches)42
Inseam (inches)34
Waist (inches)32
Sleeve (inches)36
Wrist (inches)8
Hat size7
Shoe size15

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
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
OccupationMedical Doctor
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectMedicine
Donor's Father Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Swedish, English, Greek
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Trombone - 7
Other
yrs experience		Photography - 40
Donor's Father Physical Information
Body
Age62
Height6'5"
Weight230 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMedDk
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Registered Nurse
Donor's Mother Education:
LevelGraduate school
DegreeMaster
SubjectNursing
Donor's Mother Religion:
Faith Jewish
Denomination Conservative
Primary ethnic origins:Jewish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish, Hebrew
WriteEnglish, Hebrew
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Clarinet - 4
Other
yrs experience		Golf - 15
Donor's Mother Physical Information
Body
Age58
Height5'5"
Weight145 lbs.
HandsLeft-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		15
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneDark
Skin ConditionCombination
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
SexMale
Age28
Height6'0"
Weight195 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Business Manager
Education:
LevelCollege
DegreeBachelor
SubjectHistory
Religion:
Faith Jewish
Denomination Reform
Languages:
SpeakEnglish
ReadEnglish, Hebrew
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Percussion - 6
Other
Years of experience		Music producing - 10
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:64, 56
Education levels for each:MD, MD
Occupations for each:Doctor, Doctor
Religions for each:Christian, Christian
Father's Brothers' Total Children:
# Boys1
# Girls4
Mother's Siblings
Mother's Sisters
# Sisters3
Ages of Sisters:55, 53 (deceased), 50
Education levels for each:Bachelor's, Bachelor's, Bachelor's
Occupations for each:Pastry Chef, Medical Assistant, Home Security Consultant
Religions for each:Jewish, Jewish, Jewish
Mother's Sisters' Total Children:
# Boys3
# Girls3
Father's Parents
Father's Father
Education
LevelGraduate
DegreeMD
SubjectOphthalmology
Occupation:Eye doctor
Primary ethnic origins:English, Greek
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchAir Force
RankCaptain
Service Yrs4
Father's Mother
Education
LevelCollege
DegreeBachelor's
SubjectEducation
Occupation:Teacher
Primary ethnic origins:Swedish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGraduate
DegreeMaster's
SubjectPhysics
Occupation:Professor
Primary ethnic origins:Jewish
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish, Yiddish, Hebrew
ReligionJewish
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelGraduate
DegreeMaster's
SubjectChemistry
Occupation:Chemist (pharmaceuticals)
Primary ethnic origins:Jewish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish, Yiddish, Hebrew
ReligionJewish
Military
BranchN/A
RankN/A
Service Yrs0