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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 - 1
Other talents:
Years of experience		Able to solve a Rubik's Cube in under a minute - 3
Favorite:
ColorBlue
FoodCrab
MusicClassic Rock/Hip Hop
AnimalBear
PetDog
CarFerrari F430
Movie"The Departed"
Song"Hotel California"
Play"West Side Story"
Goals:
AcademicTo earn a PhD in Physics
Professional To become a physicist
PersonalTo live a long and healthy life with ample family and friends
Religion:
Faith None
Denomination Atheist
Languages:
SpeakEnglish, some Spanish
ReadEnglish, some Spanish
WriteEnglish, some Spanish
Sports:
PlaySoccer, Nordic skiing, Tennis, Golf, Frisbee golf
WatchFootball, Soccer
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		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 		3.94.0
College
Question Response on scale of
GPA
on scale of 		2.144.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsMathematics
Minor subjectsPhysics
Degrees
Bachelor'sPursuing BS/Mathematics
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolGraduated with Highest Honors, Math Club, Ski/Snowboard Club
CollegeSociety of Physics Students, Member of a campus group supporting the acceptance of non-theists
AcademicN/A
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)14
Chest (inches)34
Inseam (inches)31
Waist (inches)33
Sleeve (inches)33
Wrist (inches)7
Hat size7.5
Shoe size9

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts12
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during useBraces, ages 12-15; Retainer, ages 15-present
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
OccupationTeacher
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectEducation
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Norwegian
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
Age62
Height5'4"
Weight170 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeDark
Vision Far-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		53
Hair:
Original hair color Brown
If gray, age turned gray56
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Teacher
Donor's Mother Education:
LevelCollege
DegreeMaster
SubjectSpeech and Language Pathology
Donor's Mother Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:Norwegian, Swedish
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
Age60
Height5'5"
Weight130 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		12
Hair:
Original hair color Blond
If gray, age turned gray55
TypeWavy
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingHalf
Sibling #1 Physical Information
Body
SexFemale
Age39
Height5'5"
Weight115 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Registered Nurse
Education:
LevelCollege
DegreeBachelor
SubjectNursing
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1 - 9
# Girls
Ages:		1 - 14
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
TypeCurly
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 siblingHalf
Sibling #2 Physical Information
Body
SexMale
Age37
Height5'7"
Weight215 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Police Officer
Education:
LevelCollege
DegreeAssociate
SubjectLaw Enforcement
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		1 - 7
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBlue
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts18
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryYes
BranchArmy
RankSpecialist
Years of service2
Father's Siblings
Father's Sisters
# of Sisters2
Ages of Sisters:60, 59
Education levels for each:Bachelor's, Associate's
Occupations for each:Teacher, Teacher's Aide
Religions for each:Catholic, Catholic
Father's Sisters' Total Children:
# Boys2
# Girls0
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:58
Education levels for each:High school
Occupations for each:Sales Representative
Religions for each:Atheist
Mother's Brothers' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Warehouse Manager
Primary ethnic origins:Norwegian
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchNavy
RankPetty Officer
Service Yrs3
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Librarian
Primary ethnic origins:Norwegian
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Government official
Primary ethnic origins:Swedish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchNavy
RankSeaman
Service Yrs2
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Store Manager
Primary ethnic origins:Norwegian
Siblings:
# Brothers6
# Sisters1
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchN/A
RankN/A
Service Yrs0