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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:		Drums - 2
Other talents:
Years of experience		Tae-Kwon-Do - 6
Favorite:
ColorRed
FoodBar-B-Que Ribs
MusicRock
AnimalMonkey
PetDog
CarLotus
Movie"Inception"
Song"Ain't No Rest for the Wicked" by Cage the Elephant
Play"Footloose"
Goals:
AcademicTo graduate college with good grades
Professional To get a well paying job
PersonalTo raise my son successfully
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, German
ReadEnglish, German
WriteEnglish, German
Sports:
PlaySoccer
WatchFootball, Baseball
Siblings:
# BrothersN/A
# 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		1740 (out of 2400)
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		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 		3.514.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsComputer Engineering
Minor subjectsN/A
Degrees
Bachelor'sPursuing BS/Computer Engineering
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolDiploma, Freshman soccer
CollegeN/A
AcademicNational Honor Society
Professional N/A
Political N/A
Personal Raising my son
Charitable Volunteer at a kid's camp and the YMCA
OthersTae-Kwon-Do student of the year

Military

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

Physical Features

HandsLeft-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)40.5
Inseam (inches)29
Waist (inches)34
Sleeve (inches)32
Wrist (inches)6.5
Hat size7.38
Shoe size12

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts9
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
OccupationPhone Operator
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:German
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		Guitar - 20
Other
yrs experience		None
Donor's Father Physical Information
Body
Age50
Height5' 8"
Weight180 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		11
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryYes
BranchAir Force
RankSenior Airman
Years of service5
Donor's Mother Personal Information
Occupation Secretary
Donor's Mother Education:
LevelSome college
DegreeAssociate
SubjectAccounting
Donor's Mother Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins: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
Age47
Height5' 7"
Weight135 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		15
Hair:
Original hair color Auburn
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
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
Age24
Height5' 6"
Weight120 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Waitress
Education:
LevelSome college
DegreePursuing
SubjectPhotography
Religion:
Faith None
Denomination Atheist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		1 - 2
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts10
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Sisters
# of Sisters2
Ages of Sisters:47, 44
Education levels for each:High School, High School
Occupations for each:Insurance Clerk, Retail Sales Associate
Religions for each:Christian, Christian
Father's Sisters' Total Children:
# Boys1
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers4
Ages of Brothers:50, 49, 47, 45
Education levels for each:High School, High School, High School, High School
Occupations for each:Firefighter, Construction Worker, Construction Worker, Printing Assistant
Religions for each:Christian, Christian, Christian, Christian
Mother's Brothers' Total Children:
# Boys2
# Girls2
Mother's Sisters
# Sisters1
Ages of Sisters:51
Education levels for each:High School
Occupations for each:Customer Service Associate
Religions for each:Christian
Mother's Sisters' Total Children:
# Boys0
# Girls0
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Police Chief (Retired)
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankPrivate
Service Yrs5
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Piano Instructor (Retired)
Primary ethnic origins:German
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelSome Schooling
DegreeUnknown
SubjectGeneral Studies
Occupation:Farmer
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelSome schooling
DegreeUnknown
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0