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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:		Clarinet - 8
Other talents:
Years of experience		Exhibition rifle drill - 6
Favorite:
ColorBlack
FoodIce cream
MusicClassic rock
AnimalMonkey
PetN/A
CarN/A
MovieComedies
SongN/A
PlayN/A
Goals:
AcademicPhD in Counseling Psychology
Professional Become published author
PersonalImprove lives, or at least moods, of those I come into contact with
Religion:
Faith Christian
Denomination Luthern
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayEnjoy playing all sports
WatchDon't really watch sports
Siblings:
# Brothers1
# Sisters2
Are you a twin?
Identical or fraternal?		No
# of twins in your family0
# Identical setsN/A
# Fraternal setsN/A

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		N/A
ACT
on scale of		25 - out of 36
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 		3.664.0
College
Question Response on scale of
GPA
on scale of 		3.74.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsPsychology
Minor subjectsN/A
Degrees
Bachelor'sPursuing BA/Psychology
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolWrestling, Student congress, Debate, Track, Cross country, Football
CollegeN/A
AcademicN/A
Professional Army awards
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

Served in militaryYes
BranchArmy
RankStaff Sergeant
Years of service6

Physical Features

HandsAmbidextrous
FingersMedium
Sizes & Measurements
Neck (inches)15.5
Chest (inches)41
Inseam (inches)32
Waist (inches)32
Sleeve (inches)33
Wrist (inches)8
Hat size7.5
Shoe size11.5

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceRetainer
ReasonCosmetic
Age range during use10-12
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
OccupationContractor
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Donor's Father Religion:
Faith Christian
Denomination Luthern
Primary ethnic origins:Norwegian, English
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Father Physical Information
Body
Age51
Height6'
Weight185 lbs
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned gray45
TypeStraight
Skin:
Skin ToneMedL
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 Paralegal
Donor's Mother Education:
LevelTrade school
DegreeAssociate
SubjectParalegal
Donor's Mother Religion:
Faith Christian
Denomination Luthern
Primary ethnic origins:German, Lithuanian
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano, Clarinet, Acoustic guitar, Bass guitar, Violin - Many years
Other
yrs experience		N/A
Donor's Mother Physical Information
Body
Age47
Height5'5''
Weight105 lbs
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
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
SexMale
Age23
Height5'9''
Weight155 lbs
HandsRight-Handed
Sibling #1 Personal Information
Occupation College student
Education:
LevelCollege
DegreePursuing
SubjectEducation
Religion:
Faith Christian
Denomination Luthern
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Trumpet, Guitar, Bass Guitar - 8, 6, 6
Other
Years of experience		N/A
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		1
Sibling #1 Facial Features
Eyes:
Eye colorBlue
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 toneMedL
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 siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age19
Height5'6"
Weight130
HandsLeft-Handed
Sibling #2 Personal Information
Occupation Cosmetology student
Education:
LevelTrade school
DegreePursuing
SubjectCosmetology
Religion:
Faith Christian
Denomination Luthern
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Clarinet - 8
Other
Years of experience		N/A
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorHazel
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 toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexFemale
Age17
Height5'6''
Weight120 lbs
HandsRight-Handed
Sibling #3 Personal Information
Occupation High School student
Education:
LevelHigh school
DegreePursuing
SubjectGeneral studies
Religion:
Faith Christian
Denomination Luthern
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Flute - 7
Other
Years of experience		N/A
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorHazel
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 toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers3
Ages of Brothers:58, 57, 48
Education levels for each:College, High school, Trade school
Occupations for each:Accountant, Well driller, Plumber
Religions for each:All Lutheran
Father's Brothers' Total Children:
# Boys5
# Girls3
Father's Sisters
# of Sisters4
Ages of Sisters:64, 60, 46, 43
Education levels for each:Trade school, Some college, Some college, Trade school
Occupations for each:Manager, Secretary, Accountant, Cosmetologist
Religions for each:All Luthern
Father's Sisters' Total Children:
# Boys4
# Girls4
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:51, 42
Education levels for each:Law school, Trade school
Occupations for each:Lawyer, Producer
Religions for each:Both Lutheran
Mother's Brothers' Total Children:
# Boys0
# Girls1
Mother's Sisters
# Sisters2
Ages of Sisters:49, 45
Education levels for each:High school, Trade school
Occupations for each:Retail Management, Pharmaceuticals
Religions for each:Both Lutheran
Mother's Sisters' Total Children:
# Boys1
# Girls4
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Machinist
Primary ethnic origins:English
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchArmy Air Corps
Rank2nd Lieutenant
Service Yrs4
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Homemaker
Primary ethnic origins:Norwegian, English
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchNone
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Farmer
Primary ethnic origins:German
Siblings:
# Brothers5
# Sisters2
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchNone
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Nursing
Primary ethnic origins:German, Lithuanian
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchNone
RankN/A
Service Yrs0