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:		Piano - 2
Other talents:
Years of experience		None
Favorite:
ColorOrange
FoodMexican
MusicClassic Rock
AnimalLion
PetCat
CarBMW
Movie"The Godfather"
Song"Bohemian Rhapsody"
Play"Damn Yankees"
Goals:
AcademicTo earn an MBA
Professional To own my own company
PersonalTo own a home
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayBasketball, Hockey
WatchHockey, Football, Baseball
Siblings:
# Brothers2
# Sisters0
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		1350 (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		160
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 		3.54.0
College
Question Response on scale of
GPA
on scale of 		3.334.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsHistory and Business Administration
Minor subjectsEconomics
Degrees
Bachelor'sBA/History and Business (double major)
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolNational Honors Society, Football, Track
CollegeCollege Democrats, Fraternity member
AcademicDean's List
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)30
Waist (inches)32
Sleeve (inches)33
Wrist (inches)7.5
Hat size7.5
Shoe size13

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts12
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use12-14
Other Physical Aids:
ListN/A
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
OccupationAttorney
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectTax Law
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Irish
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Piano - 3
Other
yrs experience		None
Donor's Father Physical Information
Body
Age56
Height5'10"
Weight170 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeCurly
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Nurse
Donor's Mother Education:
LevelGraduate school
DegreeMaster
SubjectNursing
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Irish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age58
Height5'5"
Weight160 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		35
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
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
SexMale
Age29
Height5'11"
Weight200 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Financial Analyst
Education:
LevelCollege
DegreeBachelor
SubjectCommunications
Religion:
Faith None
Denomination Atheist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Piano - 5
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesMedium
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexMale
Age27
Height5'11"
Weight175 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Lawyer
Education:
LevelGraduate school
DegreeDoctorate
SubjectLaw
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Saxophone - 10
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts20
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:48
Education levels for each:Bachelor's
Occupations for each:Financial Advisor
Religions for each:Catholic
Father's Brothers' Total Children:
# Boys3
# Girls1
Father's Sisters
# of Sisters4
Ages of Sisters:54, 52, 50, 46
Education levels for each:Bachelor's, Bachelor's, Master's, Bachelor's
Occupations for each:Teacher, Teacher, Pharmacist, Software Developer
Religions for each:Catholic, Catholic, Catholic, Catholic
Father's Sisters' Total Children:
# Boys3
# Girls4
Mother's Siblings
Mother's Brothers
# Brothers5
Ages of Brothers:56, 54, 52, 48, 47
Education levels for each:Bachelor's, Bachelor's, Bachelor's, Bachelor's, Bachelor's
Occupations for each:Engineer, Biologist, Information Technology, Bartender, Homemaker
Religions for each:Catholic, Catholic, Catholic, Catholic, Catholic
Mother's Brothers' Total Children:
# Boys7
# Girls6
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectEngineering
Occupation:Financial Advisor
Primary ethnic origins:Irish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchArmy
RankPrivate First Class
Service Yrs3
Father's Mother
Education
LevelCollege
DegreeBachelor's
SubjectNursing
Occupation:Nurse
Primary ethnic origins:Irish
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish, French
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeGeneral Educational Development certificate (GED)
SubjectGeneral Studies
Occupation:Steel Worker
Primary ethnic origins:Irish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchArmy
RankCorporal
Service Yrs4
Mother's Mother
Education
LevelHigh School
DegreeGeneral Educational Development certificate (GED)
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Irish
Siblings:
# Brothers3
# Sisters3
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0