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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:		Alto saxophone - 5
Other talents:
Years of experience		Ballroom dancer, Actor, Writer - 15, 15, 15
Favorite:
ColorBlue
FoodIndian
MusicJazz
AnimalLion
PetCat
CarBMW
MovieLe Fabuleux Destin D'Amélie Poulain
Song"La Foule" by Edith Piaf
PlayA Chorus Line (Musical), Play: The Merchant of Venice
Goals:
AcademicTo become a professor of Film Arts at a university
Professional To become a film producer/director/writer
PersonalTo be a father, have a family, and close friends
Religion:
Faith Jewish
Denomination Ashkenazi
Languages:
SpeakEnglish, French, Italian, some Hebrew
ReadEnglish, French, Italian
WriteEnglish, French, Italian
Sports:
PlaySoccer, Basketball, Baseball/Softball, Volleyball, Ballroom dancing, Football
WatchNone
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		1420 - 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 		3.64.0
College
Question Response on scale of
GPA
on scale of 		3.64.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.84.0
Subjects Studied:
Major subjectsFrench and Italian (Bachelor's); Pedagogy/Teaching (Master's)
Minor subjectsN/A
Degrees
Bachelor'sBA/French, BA/Italian
Master'sMA/Pedagogy (Teaching)
DoctorateN/A
Other(s)High School
Awards & Activities
High schoolHonors in Mathematics, Literature, Foreign Languages, Football team, Acting
CollegeDean's List, Acting/Crew Theatre
AcademicDean's List, Cum laude Master's and Bachelor's, Study abroad
Professional Ballroom dance instructor, Co-founder of two companies
Political Political advocate
Personal N/A
Charitable Volunteer at church and homeless shelters
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15.5
Chest (inches)42
Inseam (inches)32
Waist (inches)31
Sleeve (inches)30
Wrist (inches)7
Hat size7.75
Shoe size12

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
OccupationSales Representative
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectLiberal Arts
Donor's Father Religion:
Faith Jewish
Denomination Ashkenazi
Primary ethnic origins:Israeli
Donor's Father Languages:
SpeakEnglish, Hebrew
ReadEnglish, Hebrew
WriteEnglish, Hebrew
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age65
Height5'10''
Weight160 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned gray55
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftMedium
Ear lobeDetached
Facial DimplesMedium
Military
Served in MilitaryYes
BranchIsraeli Army
RankLieutenant
Years of service3
Donor's Mother Personal Information
Occupation Actress
Donor's Mother Education:
LevelCollege
DegreeAssociate
SubjectTheatre Arts
Donor's Mother Religion:
Faith Jewish
Denomination Ashkenazi
Primary ethnic origins:Polish, German, Russian, French
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
Age61
Height5'3''
Weight130 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Black
If gray, age turned gray48
TypeWavy
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 siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age36
Height5'8''
Weight136 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Vet Technician
Education:
LevelCollege
DegreeBachelor
SubjectVeterinarian Medicine
Religion:
Faith Jewish
Denomination Ashkenazi
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Flute - 8
Other
Years of experience		Cooking - 10
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorHazel
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Auburn
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingHalf
Sibling #2 Physical Information
Body
SexMale
Age18
Height5'10''
Weight146 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectCulinary Arts
Religion:
Faith Jewish
Denomination Ashkenazi
Languages:
SpeakEnglish, Tagalog
ReadEnglish, Tagalog
WriteEnglish, Tagalog
Talents:
VoiceTenor
Instrument
Years of experience		None
Other
Years of experience		None
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 toneMedDk
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers8
Ages of Brothers:68, 65, 62, 59, 54, 50, 28 (deceased), 25 (deceased)
Education levels for each:All have some college
Occupations for each:All are business owners
Religions for each:All are Jewish
Father's Brothers' Total Children:
# Boys6
# Girls2
Father's Sisters
# of Sisters2
Ages of Sisters:68, 56
Education levels for each:Bachelor's, Some college
Occupations for each:Homemaker, Supervisor
Religions for each:Jewish, Jewish
Father's Sisters' Total Children:
# Boys6
# Girls7
Mother's Siblings
Mother's Sisters
# Sisters1
Ages of Sisters:49
Education levels for each:Bachelor's
Occupations for each:Phlebotomist
Religions for each:Jewish
Mother's Sisters' Total Children:
# Boys1
# Girls0
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Business Owner
Primary ethnic origins:Israeli
Siblings:
# Brothers6
# Sisters2
Other:
LanguagesEnglish, Hebrew, Arabic, French, Spanish
ReligionJewish
Military
BranchIsraeli Military
RankLieutenant
Service Yrs2
Father's Mother
Education
LevelCollege
DegreeAssociate's
SubjectGeneral Studies
Occupation:Chef
Primary ethnic origins:Israeli
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish, Hebrew, Arabic, German, French
ReligionJewish
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelCollege
DegreeBachelor's
SubjectTheatre Arts
Occupation:Actor
Primary ethnic origins:Russian, French
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionJewish
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelCollege
DegreeAssociate's
SubjectFashion and Business
Occupation:Manager
Primary ethnic origins:Polish, German
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish, German, Yiddish
ReligionJewish
Military
BranchN/A
RankN/A
Service Yrs0