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Questions

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

Personal Information

Talents:
Voice:Tenor
Instrument:
Years of experience:		Trombone - 4
Other talents:
Years of experience		Dance - 10+
Favorite:
ColorBlue and orange
FoodAnything that comes with "wine pairings"
MusicNeil Young, Wilco
AnimalDog
PetDog
CarHonda Civic
MovieCaddyshack
SongCurrently, "Kissing the Lipless"
PlayHiking, Camping, Biking, Running, Lounging
Goals:
AcademicTo continue learning
Professional A career as a structural engineer/designer
PersonalTo have children
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish, some French
ReadEnglish, some French
WriteEnglish, some French
Sports:
PlayBike, Swim, Run, Golf
WatchFootball mostly
Siblings:
# Brothers0
# Sisters0
Are you a twin?
Identical or fraternal?		No
# of twins in your family1 set
# Identical sets1
# Fraternal sets0

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		NA
ACT
on scale of		27 (Math 32, English 24)
GRE
on scale of		490 Verbal, 800 Quantitative, 4.0 Analytical Writing
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 		3.74.0
College
Question Response on scale of
GPA
on scale of 		3.514.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.744.0
Subjects Studied:
Major subjectsCivil/Structural Engineering
Minor subjectsN/A
Degrees
Bachelor'sBS/Engineering
Master'sMS/Engineering
DoctoratePhD/Civil Engineering
Other(s)High School
Awards & Activities
High schoolN/A
CollegeGraduate Research Assistanceship
Academic Fellowship
Professional Professional Engineer
Political N/A
Personal N/A
Charitable School Science Fair volunteer
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)40
Inseam (inches)34
Waist (inches)32
Sleeve (inches)30
Wrist (inches)8
Hat size7.25
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
Occupation Inspector
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:German
Donor's Father Languages:
SpeakEnglish and Spanish
ReadEnglish and Spanish
WriteEnglish and Spanish
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Father Physical Information
Body
Age54
Height5'11"
Weight160
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned gray45
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Secretary
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectArt Education
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:German
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		NA
Other
yrs experience		NA
Donor's Mother Physical Information
Body
Age55
Height5'6"
Weight120
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		40
Hair:
Original hair color Brown
If gray, age turned gray40
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftMedium
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers5
Ages of Brothers:44, 49, 51, 52, 60
Education levels for each:MS, BS, BS, BS, JD
Occupations for each:Teacher, Manager, Project manager, Teacher, Lawyer
Religions for each:Christian for all
Father's Brothers' Total Children:
# Boys6
# Girls5
Father's Sisters
# of Sisters4
Ages of Sisters:46, 55, 58, 61
Education levels for each:Bachelors for each
Occupations for each:Teacher, Administrator, Editor, Graphic designer
Religions for each:Christian for all
Father's Sisters' Total Children:
# Boys1
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers5
Ages of Brothers:40, 41, 44, 46, 54
Education levels for each:MS, MS, MS, BA, BA
Occupations for each:Teacher, Engineer, Engineer, Business, Manager
Religions for each:Christian for all
Mother's Brothers' Total Children:
# Boys8
# Girls10
Mother's Sisters
# Sisters4
Ages of Sisters:38, 48, 51, 53
Education levels for each:MS, BS, BA, BA
Occupations for each:Nurse, Homemaker, Entrepreneur, Entrepreneur
Religions for each:Christian for all
Mother's Sisters' Total Children:
# Boys13
# Girls2
Father's Parents
Father's Father
Education
LevelSome college
DegreeNot completed
SubjectGeneral studies
Occupation:Real estate
Primary ethnic origins:German
Siblings:
# Brothers3
# Sisters3
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchAir Force
RankPilot
Service Yrs2
Father's Mother
Education
LevelCollege
DegreeBS
SubjectNursing
Occupation:Nurse
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Farmer
Primary ethnic origins:German
Siblings:
# Brothers3
# Sisters3
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchArmy
RankPrivate
Service Yrs2
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Farmer
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters4
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0