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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:		Violin - 8
Other talents:
Years of experience		Poetry - 10
Favorite:
ColorBlue
FoodNoodles
MusicR & B
AnimalRhinoceros
PetDog
CarConvertible
MovieAnchorman
Song"Can We Talk" by Tevin Campbell
PlayThe Crucible
Goals:
AcademicTo continue learning
Professional Top radio personality in U.S.
PersonalBe happy and comfortable
Religion:
Faith Christian
Denomination Baptist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayFootball
WatchFootball, Basketball, Baseball, Hockey
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		1190
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 		3.34.0
College
Question Response on scale of
GPA
on scale of 		2.674.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsCommunications
Minor subjectsPolitical Science
Degrees
Bachelor'sBA/Communications
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolFootball, Drama, Summer orientation leader
CollegeStudent government
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
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)42
Inseam (inches)33
Waist (inches)34
Sleeve (inches)33
Wrist (inches)7
Hat size7.25
Shoe size13

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
OccupationCook
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Islam
Denomination N/A
Primary ethnic origins:Bengali
Donor's Father Languages:
SpeakEnglish, Bangla, Spanish, Greek, Italian
ReadEnglish, Bangla, Spanish
WriteEnglish, Bangla, Spanish
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		None
Other
yrs experience		Soccer player - during childhood
Donor's Father Physical Information
Body
Age46
Height5'10"
Weight155 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		41
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
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 Cashier
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins:German, Italian, Irish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		Picture art - 8
Donor's Mother Physical Information
Body
Age47
Height5'8"
Weight178 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		38
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesSlight
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 siblingHalf
Sibling #1 Physical Information
Body
SexMale
Age27
Height5'10"
Weight198 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Sales Manager
Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Baptist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		None
Other
Years of experience		Sketch artist - 2
Sibling #1 Children:
# Boys
Ages:		2 - 3, 1
# Girls
Ages:		1 - 6
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
TypeCurly
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
SexFemale
Age15
Height5'9"
Weight145 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelHigh school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		Choir - 2
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 Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesMedium
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:35, 29
Education levels for each:High school, some high school
Occupations for each:Dishwasher, Business Owner
Religions for each:Islam, Islam
Father's Brothers' Total Children:
# Boys0
# Girls0
Father's Sisters
# of Sisters1
Ages of Sisters:28
Education levels for each:Some high school
Occupations for each:Homemaker
Religions for each:Islam
Father's Sisters' Total Children:
# Boys0
# Girls0
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:52, 51
Education levels for each:High school, High school
Occupations for each:Repairman, Security Guard
Religions for each:Christian, Christian
Mother's Brothers' Total Children:
# Boys2
# Girls1
Mother's Sisters
# Sisters1
Ages of Sisters:55
Education levels for each:Some high school
Occupations for each:Receptionist
Religions for each:Atheist
Mother's Sisters' Total Children:
# Boys0
# Girls1
Father's Parents
Father's Father
Education
LevelSome high school
DegreeNot completed
SubjectGeneral Studies
Occupation:Restaurant Owner
Primary ethnic origins:Bengali
Siblings:
# Brothers3
# Sisters1
Other:
LanguagesBangla, English
ReligionIslam
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelSome grade school
DegreeNot completed
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Bengali
Siblings:
# Brothers3
# Sisters0
Other:
LanguagesBangla
ReligionIslam
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelSome high school
DegreeNot completed
SubjectGeneral Studies
Occupation:Ranch Hand
Primary ethnic origins:German, Irish
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelSome high school
DegreeNone
SubjectGeneral Studies
Occupation:Daycare Worker
Primary ethnic origins:German, Italian
Siblings:
# Brothers3
# Sisters2
Other:
LanguagesEnglish
ReligionJehovah's Witness
Military
BranchN/A
RankN/A
Service Yrs0