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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:Tenor
Instrument:
Years of experience:		Keyboards - 15
Other talents:
Years of experience		Arts and Crafts, Electronic Repairs - 23, 23
Favorite:
ColorBlue
FoodSushi
MusicAlternative Rock, Progressive Jazz
AnimalChimpanzee
PetCat
CarBugatti Veyron
Movie"The Shawshank Redemption"
Song"Kid A" by Radiohead
Play"A Streetcar Named Desire"
Goals:
AcademicTo earn an MBA
Professional Upper Management, Corporate Training
PersonalHappiness
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish, German, Spanish
ReadEnglish, German
WriteEnglish, German
Sports:
PlaySoccer, Hockey
WatchSoccer, Football, Hockey, Baseball, Basketball
Siblings:
# Brothers0
# Sisters2
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		28
GRE
on scale of		N/A
MCAT
on scale of		N/A
LSAT
on scale of		166
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 		3.84.0
College
Question Response on scale of
GPA
on scale of 		2.4364.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsPolitical Science, History
Minor subjectsAnthropology, Literature, German, Astronomy, Fine Arts
Degrees
Bachelor'sBA/Political Science
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolNational Honor Society, Student of the Month, Varsity Letterman (three sports), Mock Trial Team Captain
CollegeDean's List
AcademicMerit Grant Recipient
Professional Recurring Sales Achievement Award
Political N/A
Personal N/A
Charitable Winter Special Olympics Volunteer (four years)
OthersArmy ROTC Leadership Training

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)44
Inseam (inches)32
Waist (inches)34
Sleeve (inches)33
Wrist (inches)7
Hat size7.5
Shoe size11

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:
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
OccupationReal Estate, Home Mortgage Advisor
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectEcology
Donor's Father Religion:
Faith None
Denomination Atheist
Primary ethnic origins:Hungarian, Italian
Donor's Father Languages:
SpeakEnglish, Spanish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Trumpet - 20
Other
yrs experience		None
Donor's Father Physical Information
Body
Age50
Height6'2"
Weight200 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 gray(Small amount of gray) - 46
TypeStraight
Skin:
Skin ToneMedDk
Skin ConditionMedium
Other:
Chin cleftStrong
Ear lobeAttached
Facial DimplesDeep
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Home Health Liaison
Donor's Mother Education:
LevelSome college
DegreePursuing
SubjectPsychology
Donor's Mother Religion:
Faith Christian
Denomination Universalist
Primary ethnic origins:German, Russian
Donor's Mother Languages:
SpeakEnglish, Spanish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		Arts and Crafts - 40
Donor's Mother Physical Information
Body
Age49
Height5'6"
Weight160 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		30
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeWavy
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
Age26
Height5'4"
Weight120 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Hospitality
Education:
LevelSome college
DegreePursuing
SubjectHospitality Management
Religion:
Faith None
Denomination Atheist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
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 colorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedDk
Skin conditionOily
Other:
Chin cleftSlight
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingHalf
Sibling #2 Physical Information
Body
SexFemale
Age19
Height5'4"
Weight125 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Grocery
Education:
LevelSome college
DegreeNot Completed
SubjectDesign
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		Design Art/Graphic Design - 5
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Black
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 serviceN/A
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:52
Education levels for each:JD
Occupations for each:Attorney
Religions for each:Catholic
Father's Brothers' Total Children:
# Boys0
# Girls2
Father's Sisters
# of Sisters3
Ages of Sisters:55, 51, 40
Education levels for each:Doctorate, Master's, Master's
Occupations for each:Investment Banker, Engineer, Social Worker
Religions for each:Atheist, Atheist, Atheist
Father's Sisters' Total Children:
# Boys3
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:50, 42, 37
Education levels for each:Associate's, Some college, Associate's
Occupations for each:Small Business Owner, Electrician, Military
Religions for each:Catholic, Catholic, Catholic
Mother's Brothers' Total Children:
# Boys5
# Girls3
Mother's Sisters
# Sisters2
Ages of Sisters:60, 39
Education levels for each:Some High School, Some College
Occupations for each:Skilled Laborer (Retired), Educator
Religions for each:Catholic, Catholic
Mother's Sisters' Total Children:
# Boys3
# Girls2
Father's Parents
Father's Father
Education
LevelGraduate
DegreeJD
SubjectCorporate Law
Occupation:Attorney
Primary ethnic origins:Italian
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish, Italian, French
ReligionAtheist
Military
BranchAir Force
RankAirman First Class
Service Yrs4
Father's Mother
Education
LevelGraduate
DegreeJD
SubjectFamily Law
Occupation:Attorney (Retired)
Primary ethnic origins:Hungarian
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish, French
ReligionAtheist
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Small Business Owner
Primary ethnic origins:Russian
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchNavy
RankSeaman
Service Yrs3
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Skilled Laborer, Homemaker
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish, German
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0