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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:		Drums - 13
Other talents:
Years of experience		None
Favorite:
ColorRed
FoodSoul food
MusicGospel
AnimalLion
PetDog
CarMercedes
MovieColor Purple
Song"Amazing Grace"
PlayMadea's Family Reunion
Goals:
AcademicTo receive a PhD in Engineering
Professional To become CEO of high tech company
PersonalTo be a loving, caring husband and father
Religion:
Faith Christian
Denomination Methodist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayFootball, Basketball, Track
WatchFootball, Basketball, Track, Golf
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		18 - out of 36
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 		3.34.0
Graduate School
Question Response on scale of
GPA
on scale of 		2.94.0
Subjects Studied:
Major subjectsInformation Systems, Engineering
Minor subjectsN/A
Degrees
Bachelor'sBS/Electrical Engineering
Master'sMS/ Management of Information Systems
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolN/A
CollegeN/A
AcademicN/A
Professional N/A
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

Served in militaryYes
BranchArmy National Guard
RankE-4
Years of service7

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)33
Inseam (inches)31
Waist (inches)32
Sleeve (inches)31
Wrist (inches)6
Hat size7
Shoe size9

Physical Aids

Eyes:
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts8
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
OccupationSecurity
Donor's Father Education:
LevelHigh school
DegreeNot Completed
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Methodist
Primary ethnic origins:African American
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
Age59
Height5'9"
Weight170 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 ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Union Representative
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectEducation
Donor's Mother Religion:
Faith Christian
Denomination Methodist
Primary ethnic origins:African American
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age54
Height5'7"
Weight165 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
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
Age37
Height5'5"
Weight150 lbs.
HandsLeft-Handed
Sibling #1 Personal Information
Occupation Manager
Education:
LevelGraduate school
DegreeMaster
SubjectBusiness Management
Religion:
Faith Christian
Denomination Methodist
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 colorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Black
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 Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age35
Height5'6"
Weight130 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Insurance
Education:
LevelCollege
DegreeBachelor
SubjectToxicology
Religion:
Faith Christian
Denomination Methodist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		2 - 7, 4
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
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 Brothers1
Ages of Brothers:62
Education levels for each:High school
Occupations for each:Factory Worker (retired)
Religions for each:Methodist
Father's Brothers' Total Children:
# Boys2
# Girls1
Father's Sisters
# of Sisters3
Ages of Sisters:55, 42, 40
Education levels for each:High school
Occupations for each:Homemaker, Nurse, Security
Religions for each:Methodist
Father's Sisters' Total Children:
# Boys7
# Girls3
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:51
Education levels for each:College
Occupations for each:Technician
Religions for each:Methodist
Mother's Brothers' Total Children:
# Boys0
# Girls0
Mother's Sisters
# Sisters1
Ages of Sisters:52
Education levels for each:College
Occupations for each:Homemaker
Religions for each:Methodist
Mother's Sisters' Total Children:
# Boys0
# Girls1
Father's Parents
Father's Father
Education
LevelGrade school
DegreeNone
SubjectGeneral Studies
Occupation:None
Primary ethnic origins:African American
Siblings:
# Brothers2
# Sisters8
Other:
LanguagesEnglish
ReligionMethodist
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeNot completed
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:African American
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionMethodist
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGrade school
DegreeNone
SubjectGeneral Studies
Occupation:None
Primary ethnic origins:African American
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionMethodist
Military
BranchArmy
RankE-6
Service Yrs10
Mother's Mother
Education
LevelGrade school
DegreeNone
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:African American
Siblings:
# Brothers2
# Sisters8
Other:
LanguagesEnglish
ReligionMethodist
Military
BranchN/A
RankN/A
Service Yrs0