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:Tenor
Instrument:
Years of experience:		Piano - 3
Other talents:
Years of experience		None
Favorite:
ColorBlue
FoodScallops
MusicIndie rock
AnimalDog
PetMy mini dachshund
CarNone
MovieDonnie Darko
Song"Neighborhood #1" by Arcade Fire
Play"Hedwig and the Angry Inch"
Goals:
AcademicTo complete my PhD
Professional Professorship
PersonalTravel
Religion:
Faith None
Denomination None
Languages:
SpeakEnglish, German
ReadEnglish, German, Spanish
WriteEnglish, German
Sports:
PlayNone
WatchBaseball, Football, Tennis
Siblings:
# Brothers0
# Sisters0
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		1580 (Math 780 Verbal 800)
ACT
on scale of		N/A
GRE
on scale of		1520 (Math 720 Verbal 800)
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 		3.84.0
College
Question Response on scale of
GPA
on scale of 		3.584.00
Graduate School
Question Response on scale of
GPA
on scale of 		4.004.00
Subjects Studied:
Major subjectsHistory and Philosophy
Minor subjectsNone
Degrees
Bachelor'sBA History, BA Philosophy
Master'sMA History
DoctoratePursuing PhD History
Other(s)N/A
Awards & Activities
High schoolEditor of school newspaper
CollegeFoBook prize
AcademicFellowships from graduate school
Professional Teaching
Political Campaign volunteer
Personal Travel
Charitable None
OthersGerman study

Military

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

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)15.5
Chest (inches)37.5
Inseam (inches)34
Waist (inches)34
Sleeve (inches)32.5
Wrist (inches)7
Hat size7.25
Shoe size13

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use13-14 years old
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
OccupationSalesman
Donor's Father Education:
LevelSome college
DegreeNot Completed
SubjectGeneral studies
Donor's Father Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins: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
Age53
Height6'2"
Weight240 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		18
Hair:
Original hair color Brown
If gray, age turned gray48
TypeCurly
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 Insurance
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral studies
Donor's Mother Religion:
Faith Christian
Denomination Methodist
Primary ethnic origins:English
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
Age48
Height5'6"
Weight150 lbs
HandsRight-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		13
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 service0
Father's Siblings
Father's Brothers
# of Brothers3
Ages of Brothers:51, 42, 41
Education levels for each:High School, High School, Bachelor's
Occupations for each:Construction, Conductor, Engineer
Religions for each:Christian, Christian, Christian
Father's Brothers' Total Children:
# Boys3
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:42, 37
Education levels for each:High School, High School
Occupations for each:Construction, Construction
Religions for each:Christian, Christian
Mother's Brothers' Total Children:
# Boys2
# Girls3
Mother's Sisters
# Sisters1
Ages of Sisters:52
Education levels for each:High School
Occupations for each:Homemaker
Religions for each:Christian
Mother's Sisters' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Truck driver
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Teacher
Primary ethnic origins:German
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Contractor
Primary ethnic origins:English
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:English
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0