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:		Guitar - 10
Other talents:
Years of experience		Cooking - 5
Favorite:
ColorGreen
FoodPizza
MusicRock, Indie
AnimalDolphin
PetDog
CarJeep Wrangler
MovieThe Shawshank Redemption
Song"Fix You" by Coldplay
PlayLes Miserables
Goals:
AcademicTo obtain PhD in Psychology
Professional To obtain private licensure, open a multidisciplinary private practice
PersonalTo have a successful, happy marriage. To be a loving family member. To complete an IronMan triathlon
Religion:
Faith Other
Denomination Catholic upbringing, currently Agnostic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Sports:
PlayTriathlon (swim, bike, run), Baseball/softball, Skiing/snowboarding, Golf
WatchBaseball, NFL, NCAA basketball, PGA, Tour de France, Olympics
Siblings:
# Brothers1
# Sisters4
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		1480 - out of 1600
ACT
on scale of		N/A
GRE
on scale of		Do not recall, but passed with a strong score
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		Praxis (passed with strong score)
High School
Question Response on scale of
GPA
on scale of 		3.64.0
College
Question Response on scale of
GPA
on scale of 		3.04.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.94.0
Subjects Studied:
Major subjectsPsychology
Minor subjectsNone
Degrees
Bachelor'sBA/Psychology
Master'sMA/Psychology
DoctorateN/A
Other(s)High School diploma
Awards & Activities
High schoolNational Honor Society, Active volunteer
CollegeDean's List; Active volunteer at church and in local community (e.g. Habitat for Humanity)
AcademicAccepted to top ranking high school and college
Professional Co-leading two projects on multicultural issues in school psychology; Tutoring in the evenings
Political N/A
Personal N/A
Charitable Frequent blood donor, Charitable donations, including fundraiser for HIV/AIDS research/awareness
OthersN/A

Military

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

Physical Features

HandsLeft-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15.5
Chest (inches)42
Inseam (inches)32
Waist (inches)32
Sleeve (inches)32
Wrist (inches)7
Hat size7.13
Shoe size10

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
OccupationFederal Employee
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectEconomics
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Welsh, German
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
Age72
Height5'8"
Weight175 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Vision Far-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		35
Hair:
Original hair color Auburn
If gray, age turned gray40
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryYes
BranchArmy
RankEnlisted
Years of service5
Donor's Mother Personal Information
Occupation Secretary
Donor's Mother Education:
LevelCollege
DegreeAssociate
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:English, German
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age66
Height5'0"
Weight155 lbs
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		40
Hair:
Original hair color Brown
If gray, age turned gray45
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age40
Height5'1"
Weight130 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Social Worker
Education:
LevelCollege
DegreeBachelor
SubjectSocial Work
Religion:
Faith Christian
Denomination Catholic upbringing
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Clarinet - 5
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1 - 6
# Girls
Ages:		3 - 2, 11, 15
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Blond
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
Age33
Height5'5"
Weight150 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Statistician
Education:
LevelGraduate school
DegreeMaster
SubjectStatistics
Religion:
Faith Christian
Denomination Catholic upbringing
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceSoprano
Instrument
Years of experience		Guitar - 10
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		2 - 1,3
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBlue
Eye shadeLight
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
Age30
Height5'5"
Weight150 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Land Management
Education:
LevelCollege
DegreeBachelor
SubjectCriminal Justice
Religion:
Faith Christian
Denomination Catholic upbringing
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Clarinet - 2
Other
Years of experience		None
Sibling #3 Children:
# Boys
Ages:		1 - 10
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
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 Sibling #4
Full/Half siblingFull
Sibling #4 Physical Information
Body
SexMale
Age29
Height5'8"
Weight190 lbs.
HandsRight-Handed
Sibling #4 Personal Information
Occupation Actor
Education:
LevelCollege
DegreeBachelor
SubjectTheater
Religion:
Faith Christian
Denomination Catholic upbringing
Languages:
SpeakEnglish, German
ReadEnglish, German
WriteEnglish, German
Talents:
VoiceTenor
Instrument
Years of experience		Trumpet - 2
Other
Years of experience		Acting, Improv Comedy - 6, 6
Sibling #4 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #4 Facial Features
Eyes:
Eye colorBlue
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #5
Full/Half siblingFull
Sibling #5 Physical Information
Body
SexFemale
Age24
Height5'0"
Weight130 lbs.
HandsRight-Handed
Sibling #5 Personal Information
Occupation Student
Education:
LevelSome college
DegreePursuing
SubjectUndeclared
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Flute - 6
Other
Years of experience		None
Sibling #5 Children:
# Boys
Ages:		1 - 1
# Girls
Ages:		0
Sibling #5 Facial Features
Eyes:
Eye colorHazel
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 toneLight
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Sisters
# of Sisters1
Ages of Sisters:65 (deceased)
Education levels for each:Bachelor's
Occupations for each:Unknown
Religions for each:Christian
Father's Sisters' Total Children:
# Boys0
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:68
Education levels for each:College
Occupations for each:Engineer
Religions for each:Christian
Mother's Brothers' Total Children:
# Boys0
# Girls3
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Fire Chief
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Welsh
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Mechanic
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchAir National Guard
RankEnlisted
Service Yrs5
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Occupation:Homemaker
Primary ethnic origins:English
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0