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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:Baritone
Instrument:
Years of experience:		Tenor saxophone, Violin - 5, ages 8-15
Other talents:
Years of experience		None
Favorite:
ColorGreen, but not on cars
FoodMexican
MusicCountry
AnimalPenguin
PetDogs
CarOld pickup trucks
Movie"The Shawshank Redemption "
Song"American Pie" by Don McLean
Play"Les Miserables"
Goals:
AcademicTo earn a Master's degree
Professional To be CFO of a company
PersonalTo start a family and live a happy life
Religion:
Faith Christian
Denomination Methodist
Languages:
SpeakEnglish, French
ReadEnglish, French
WriteEnglish, French
Sports:
PlayHockey, Lacrosse, Football, Baseball
WatchHockey, Football, Baseball
Siblings:
# Brothers0
# Sisters2
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		N/A
ACT
on scale of		31 - 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 		3.54.0
College
Question Response on scale of
GPA
on scale of 		3.144.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsAccounting, Business, Economics
Minor subjectsApplied Physics, Electrical Engineering
Degrees
Bachelor'sPursuing BA/Accounting, Business Economics (double major)
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolYouth in Government for 5 years, Chess Club, Head of Robotics League, Mathletes, Hockey, and Lacrosse
CollegeFraternity chair
AcademicN/A
Professional N/A
Political N/A
Personal Boy Scouts of America for 11 years
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)41
Inseam (inches)34
Waist (inches)33
Sleeve (inches)34
Wrist (inches)9
Hat size7
Shoe size11.5

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
OccupationBusiness executive
Donor's Father Education:
LevelGraduate school
DegreeMaster
SubjectEngineering
Donor's Father Religion:
Faith Christian
Denomination Methodist
Primary ethnic origins:Danish
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age57
Height6'4''
Weight230 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		18
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryYes
BranchMarine Corps
RankSergeant
Years of service3
Donor's Mother Personal Information
Occupation Lawyer
Donor's Mother Education:
LevelGraduate school
DegreeDoctorate
SubjectLaw
Donor's Mother Religion:
Faith Christian
Denomination Methodist
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
Age57
Height5'6''
Weight160 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeDark
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		8
Hair:
Original hair color Red
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
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age27
Height5'9"
Weight140 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Lawyer
Education:
LevelGraduate school
DegreeDoctorate
SubjectLaw
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceSoprano
Instrument
Years of experience		None
Other
Years of experience		None
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 Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
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
SexFemale
Age23
Height5'10"
Weight140 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Medical Representative
Education:
LevelCollege
DegreeBachelor
SubjectMarketing
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, German
ReadEnglish, German
WriteEnglish, German
Talents:
VoiceAlto
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 colorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Red
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
Father's Siblings
Father's Brothers
# of Brothers3
Ages of Brothers:55, 53, 51
Education levels for each:High school, High school, Bachelor's
Occupations for each:Plant manager, Line worker, Business executive
Religions for each:Christian
Father's Brothers' Total Children:
# Boys4
# Girls4
Father's Sisters
# of Sisters1
Ages of Sisters:60
Education levels for each:Bachelor's
Occupations for each:Paralegal
Religions for each:Christian
Father's Sisters' Total Children:
# Boys1
# Girls0
Mother's Siblings
Mother's Brothers
# Brothers4
Ages of Brothers:61, 46 (deceased), 53, 51
Education levels for each:Master's, Bachelor's, Bachelor's, Bachelor's
Occupations for each:Director of sales, Police officer, Business owner, Business owner
Religions for each:All are Christian
Mother's Brothers' Total Children:
# Boys5
# Girls4
Mother's Sisters
# Sisters4
Ages of Sisters:67, 65, 63, 59
Education levels for each:All have Bachelor's degrees
Occupations for each:Teacher (retired), Dog breeder, Teacher (retired), Nurse
Religions for each:All are Christian
Mother's Sisters' Total Children:
# Boys5
# Girls4
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Factory worker
Primary ethnic origins:Danish
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankSergeant
Service Yrs4
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Factory worker
Primary ethnic origins:Danish
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Golf course manager
Primary ethnic origins:Irish
Siblings:
# Brothers2
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankPrivate
Service Yrs4
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Irish
Siblings:
# Brothers4
# Sisters6
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0