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:		Trumpet, French Horn, Baritone, Piano - Total: 11
Other talents:
Years of experience		Soccer, Rugby, Volleyball, Sprinting - 15
Favorite:
ColorBlue
FoodPizza
MusicPop/Electronic
AnimalKoala
PetCat
CarMustang
MovieCount of Monte Cristo
SongMan in the Mirror
PlayN/A
Goals:
AcademicPhD
Professional Chemist
PersonalN/A
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish, Spanish, Thai
ReadEnglish, Spanish
WriteEnglish, Spanish
Sports:
PlaySoccer, Volleyball, Rugby
WatchFootball
Siblings:
# Brothers1
# 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		1750 - 2400
ACT
on scale of		N/A
GRE
on scale of		157/162/4.5 - 170/170/6
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 		3.34.0
College
Question Response on scale of
GPA
on scale of 		3.054.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.334.0
Subjects Studied:
Major subjectsChemistry, Biology
Minor subjectsSpanish, Computer Science
Degrees
Bachelor'sBS/Chemistry
Master'sMS/Chemistry
DoctoratePursuing PhD Chemistry
Other(s)N/A
Awards & Activities
High schoolIB Diploma
CollegeDean's List 2 semesters
AcademicN/A
Professional N/A
Political N/A
Personal Cooking, Soccer, Cross stitching
Charitable N/A
OthersFrench Horn, Trumpet, Piano, Singing

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)38
Inseam (inches)31
Waist (inches)35
Sleeve (inches)29
Wrist (inches)7
Hat size7
Shoe size9.5

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use10-14
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
OccupationBiologist
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectMicrobiology
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Belgian, Polish, German
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
Age60
Height6'3
Weight175
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Normal
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		15 - 15
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryYes
BranchNavy
RankLieutenant
Years of service13
Donor's Mother Personal Information
Occupation Biologist
Donor's Mother Education:
LevelGraduate school
DegreeDoctorate
SubjectBiochemistry
Donor's Mother Religion:
Faith Christian
Denomination Episcopalian
Primary ethnic origins:English
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Mother Physical Information
Body
Age57
Height5'3
Weight135
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeLight
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		15 - 15
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age30
Height5'10
Weight175
HandsAmbidextrous
Sibling #1 Personal Information
Occupation Software Engineer
Education:
LevelCollege
DegreeBachelor
SubjectEntrepreneurship
Religion:
Faith Christian
Denomination Episcopalian
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Cello - 7
Other
Years of experience		N/A
Sibling #1 Children:
# Boys
Ages:		1 - 2
# Girls
Ages:		1 - 6 mos
Sibling #1 Facial Features
Eyes:
Eye colorHazel
Eye shadeMedium
Vision Normal
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts15
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMed
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age32
Height5'8
Weight140
HandsRight-Handed
Sibling #2 Personal Information
Occupation Biomedical Engineer
Education:
LevelGraduate school
DegreeDoctorate
SubjectBiomedical Engineering
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish, French
ReadEnglish, French
WriteEnglish, French
Talents:
VoiceAlto
Instrument
Years of experience		Clarinet - 8
Other
Years of experience		N/A
Sibling #2 Children:
# Boys
Ages:		2 - 5, 2
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorGreen
Eye shadeMedium
Vision Normal
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts14
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexFemale
Age29
Height5'3
Weight115
HandsRight-Handed
Sibling #3 Personal Information
Occupation Art Historian
Education:
LevelGraduate school
DegreeDoctorate
SubjectArt History
Religion:
Faith None
Denomination N/A
Languages:
SpeakEnglish
ReadEnglish, Swahili, Arabic
WriteEnglish, Swahili, Arabic
Talents:
VoiceSoprano
Instrument
Years of experience		Violin - 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/contactsN/A
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:55, 53, 50
Education levels for each:Bachelors (all)
Occupations for each:Financial Analyst, Management, Real Estate
Religions for each:Catholic (all)
Father's Brothers' Total Children:
# Boys3
# Girls2
Father's Sisters
# of Sisters1
Ages of Sisters:51
Education levels for each:Bachelors
Occupations for each:Teacher
Religions for each:Catholic
Father's Sisters' Total Children:
# Boys1
# GirlsN/A
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:54, 11 (deceased in accident)
Education levels for each:Bachelors
Occupations for each:Management
Religions for each:Christian
Mother's Brothers' Total Children:
# Boys2
# GirlsN/A
Mother's Sisters
# Sisters1
Ages of Sisters:53
Education levels for each:Associates
Occupations for each:Social Work
Religions for each:Christian
Mother's Sisters' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelGraduate School
DegreeMasters
SubjectTeaching
Occupation:Principal
Primary ethnic origins:Belgian, German
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchNational Guard
RankN/A
Service YrsN/A
Father's Mother
Education
LevelBachelor's
DegreeBachelor's
SubjectTeaching
Occupation:Teacher
Primary ethnic origins:Polish
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Parents
Mother's Father
Education
LevelMedical School
DegreeMedical Doctor
SubjectMedicine
Occupation:Doctor
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Mother
Education
LevelBachelor's
DegreeBachelor's
SubjectTeaching
Occupation:Teacher
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A