Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Father's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Baritone
Instrument:
Years of experience:		None
Other talents:
Years of experience		None
Favorite:
ColorGreen
FoodChicken Parmesan
MusicAmy Winehouse
AnimalLion
PetDog
CarTesla Model S
MovieForrest Gump
Song"Come Away With Me" by Norah Jones
PlayA Christmas Carol
Goals:
AcademicMBA - completed
Professional Advancement - to be determined
PersonalContribute positively to society
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayFootball, Basketball
WatchFootball, Basketball, Hockey
Siblings:
# Brothers0
# Sisters0
Are you a twin?
Identical or fraternal?		No
# of twins in your familyN/A
# Identical sets0
# Fraternal setsN/A

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		1080 - 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		N/A
GMAT
on scale of		590 - out of 800
TOEFL
on scale of		N/A
Other
on scale of		N/A
High School
Question Response on scale of
GPA
on scale of 		3.04.0
College
Question Response on scale of
GPA
on scale of 		3.154.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.804.0
Subjects Studied:
Major subjectsBusiness Administration
Minor subjectsN/A
Degrees
Bachelor'sBS/Business Management
Master'sMBA/Business Administration
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolVarsity Baseball, Yearbook
CollegeDean's list
AcademicN/A
Professional Six Sigma Green Belt
Political N/A
Personal Fitness
Charitable N/A
OthersDabble in stock market

Military

Served in militaryNo
BranchN/A
RankN/A
Years of service0

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)17
Chest (inches)42
Inseam (inches)34
Waist (inches)33
Sleeve (inches)36
Wrist (inches)6
Hat size7.25
Shoe size11

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:
ListNone
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
OccupationButcher
Donor's Father Education:
LevelCollege
DegreeAssociate
SubjectCulinary Arts
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Italian, Irish, Russian (Jewish)
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
Age53
Height6'0"
Weight230 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 grayPeppered - 30
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 Mother Personal Information
Occupation Homemaker
Donor's Mother Education:
LevelHigh school
DegreeOther
SubjectGeneral Educational Development (GED)
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Italian, Irish, Polish, German
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
Age50
Height5'6"
Weight105 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
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 ToneLight
Skin ConditionOily
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:Bachelor's
Occupations for each:Vice Principal
Religions for each:Catholic
Father's Brothers' Total Children:
# Boys0
# Girls1
Father's Sisters
# of Sisters2
Ages of Sisters:60, 54
Education levels for each:Bachelor's, Bachelor's
Occupations for each:Teacher, Teacher
Religions for each:Catholic, Catholic
Father's Sisters' Total Children:
# Boys2
# Girls3
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:60
Education levels for each:Bachelor's
Occupations for each:Photographer
Religions for each:Catholic
Mother's Brothers' Total Children:
# Boys1
# Girls0
Mother's Sisters
# Sisters2
Ages of Sisters:58, 56, 47, 45
Education levels for each:All have high school
Occupations for each:Office Assistant, Real Estate Agent, Homemaker, Homemaker
Religions for each:All are Catholic
Mother's Sisters' Total Children:
# Boys3
# Girls1
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Factory Worker
Primary ethnic origins:Russian (Jewish), Irish
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Italian, Irish
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Carpenter
Primary ethnic origins:Polish, German
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelSome high school
DegreeNone
SubjectGeneral Studies
Occupation:Waitress
Primary ethnic origins:Italian, Irish
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0