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:		Guitar - 7
Other talents:
Years of experience		Automotive repair skills - 5
Favorite:
ColorRed
FoodSpaghetti
MusicRock
AnimalDogs
PetGolden Retriever
Car1961 Ferrari GT California
Movie"Back to the Future"
Song"Baker Street"
Play"The Producers"
Goals:
AcademicTo be top of my class in biology
Professional To become an emergency pediatric physician
PersonalJust wanna make it though the day as a good person
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, Italian
ReadEnglish, Italian
WriteEnglish, Italian
Sports:
PlayFootball, Baseball
WatchFootball, Basketball, Baseball
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		1750 (out of 2400)
ACT
on scale of		26
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 		3.84.0
College
Question Response on scale of
GPA
on scale of 		3.484.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsBiology
Minor subjectsReligion
Degrees
Bachelor'sPursuing BS/Biology
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolNational Forensic League, The National Society of High School Scholars, State Athletic Trainer
CollegeN/A
AcademicN/A
Professional Employee of the Month
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)15
Chest (inches)41
Inseam (inches)33
Waist (inches)32
Sleeve (inches)29
Wrist (inches)7
Hat size7
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:
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
OccupationRespiratory Therapist
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectRespiratory Therapy
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Italian, Native American
Donor's Father Languages:
SpeakEnglish, Korean
ReadEnglish, Korean
WriteEnglish, Korean
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		Guitar - 16
Other
yrs experience		None
Donor's Father Physical Information
Body
Age59
Height5'6"
Weight170 lbs.
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 gray56
TypeStraight
Skin:
Skin ToneDark
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryYes
BranchArmy
RankCorporal
Years of service4
Donor's Mother Personal Information
Occupation Nurse
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectNursing
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Italian
Donor's Mother Languages:
SpeakEnglish, Italian
ReadEnglish, Italian
WriteEnglish, Italian
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano - 20
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age48
Height5'4"
Weight120 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 Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMedDk
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
SexFemale
Age28
Height5'5"
Weight120 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Banker
Education:
LevelSome college
DegreePursuing
SubjectAccounting
Religion:
Faith Christian
Denomination Baptist
Languages:
SpeakEnglish, Italian
ReadEnglish, Italian
WriteEnglish, Italian
Talents:
VoiceAlto
Instrument
Years of experience		Flute - 4
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		2 - 4,1
Sibling #1 Facial Features
Eyes:
Eye colorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedDk
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
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
SexMale
Age18
Height5'8"
Weight220 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelHigh school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Trumpet - 4
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
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:64
Education levels for each:High School
Occupations for each:Store Manager
Religions for each:Catholic
Father's Brothers' Total Children:
# Boys3
# Girls2
Father's Sisters
# of Sisters3
Ages of Sisters:63, 58, 56
Education levels for each:High School, JD, High School
Occupations for each:Homemaker, Lawyer, Store Manager
Religions for each:Catholic, Catholic, Catholic
Father's Sisters' Total Children:
# Boys6
# Girls7
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:48, 45
Education levels for each:Trade School, High School
Occupations for each:Real Estate Agent, Airline Terminal Manager
Religions for each:Baptist, Baptist
Mother's Brothers' Total Children:
# Boys3
# Girls1
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Small Business Owner
Primary ethnic origins:Native American
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchNavy
RankPetty Officer Second Class
Service Yrs6
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Italian, Native American
Siblings:
# Brothers3
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Business Executive
Primary ethnic origins:Italian
Siblings:
# Brothers2
# Sisters0
Other:
LanguagesItalian, English
ReligionCatholic
Military
BranchMarines
RankStaff Sergeant
Service Yrs8
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Receptionist
Primary ethnic origins:Italian
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesItalian, English
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0