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Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Donor's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Baritone
Instrument:
Years of experience:		Guitar, electric and classical - 2
Other talents:
Years of experience		Took flying lessons - 3
Favorite:
ColorBlue
FoodPizza, any kind
MusicJazz, Folk
AnimalGreat Horned Owl
PetSun Conure (parrot)
CarDeLorean DMC-12
MovieA Fistful of Dollars
Song"To Try for the Sun" by Donovan
PlayThe Tragedy of Othello, the Moor of Venice
Goals:
AcademicBachelor's degree and maybe Master's degree in Genetics or Biology
Professional To research various diseases and to try to find cures
PersonalEventually marry and maybe have kids, live near the coast
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish, some German
ReadEnglish, some German
WriteEnglish, some German
Sports:
PlayNone
WatchNone
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		1700 - out of 2400
ACT
on scale of		29
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 		97.5100
College
Question Response on scale of
GPA
on scale of 		3.54.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsBiology
Minor subjectsN/A
Degrees
Bachelor'sPursuing BA/Biology
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolHonor Roll, Active in German club
CollegeNone
AcademicNone
Professional None
Political None
Personal Painting, Photography, Target Shooting
Charitable None
OthersNone

Military

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

Physical Features

HandsRight-Handed
FingersShort
Sizes & Measurements
Neck (inches)14
Chest (inches)36
Inseam (inches)32
Waist (inches)32
Sleeve (inches)34
Wrist (inches)7
Hat size7.6
Shoe size10

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts13
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use13-15
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
OccupationCeramics Engineer
Donor's Father Education:
LevelGraduate school - (Some)
DegreeBachelor
SubjectCeramic Engineering
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Italian
Donor's Father Languages:
SpeakEnglish, German, Italian
ReadEnglish, German, Italian
WriteEnglish, German, Italian
Donor's Father Talents:
VoiceBass
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age56
Height6'0"
Weight220 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		50
Hair:
Original hair color Brown
If gray, age turned gray50 (some gray)
TypeWavy
Skin:
Skin ToneMed
Skin ConditionCombination
Other:
Chin cleftMedium
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Accountant
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectAccounting
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Czech
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Clarinet - 3
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age46
Height5'8''
Weight150 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
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
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeDetached
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
Age15
Height6'2"
Weight160 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelHigh school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Percussion Instruments - 3
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 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 grayN/A
TypeWavy
Skin:
Skin toneMed
Skin conditionCombination
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:56
Education levels for each:Bachelor's degree
Occupations for each:Self-employed Contractor
Religions for each:Catholic
Mother's Brothers' Total Children:
# Boys0
# Girls0
Mother's Sisters
# Sisters1
Ages of Sisters:58
Education levels for each:High School
Occupations for each:Bookkeeper
Religions for each:Catholic
Mother's Sisters' Total Children:
# Boys2
# Girls0
Father's Parents
Father's Father
Education
LevelTrade School
DegreeApprenticeship
SubjectCeramics
Occupation:Ceramic Tile Maker
Primary ethnic origins:Italian
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesItalian, German, English
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelGraduate School
DegreeMedicine
SubjectPathology
Occupation:Pathologist
Primary ethnic origins:Italian
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesItalian, German, English
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelTrade School
DegreeAssociate's Degree
SubjectBusiness
Occupation:Army Clerk
Primary ethnic origins:Czech
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchArmy
RankMaster Sergeant
Service Yrs25
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Home Health Aide
Primary ethnic origins:Czech
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0