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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:		None
Other talents:
Years of experience		Painting - 17 years
Favorite:
ColorBrown
FoodBurrito
MusicRock
AnimalZebra
PetDog
CarMini Van
MovieThe Royal Tenenbaums
Song"The End" by The Doors
PlayThoroughly Modern Millie
Goals:
AcademicBFA
Professional Make a feature film
PersonalLive a long, happy life
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish, Spanish, Latin
WriteEnglish
Sports:
PlayTennis, Ice Hockey, Basketball
WatchAll sports
Siblings:
# Brothers1
# Sisters1
Are you a twin?
Identical or fraternal?		No
# of twins in your familyN/A
# Identical sets0
# Fraternal sets0

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		640
ACT
on scale of		27
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 		3.54.0
College
Question Response on scale of
GPA
on scale of 		3.54.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsFilm and Television
Minor subjectsPainting
Degrees
Bachelor'sBFA/ Film and Television
Master'sN/A
DoctorateN/A
Other(s)High school
Awards & Activities
High schoolCoach's Award, Varsity Ice Hockey, Most Artistic
CollegeDean's List
AcademicNone
Professional Staff of the Quarter
Political None
Personal None
Charitable None
OthersNone

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)37
Inseam (inches)32
Waist (inches)35
Sleeve (inches)35
Wrist (inches)7
Hat size7.6
Shoe size13

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use12-15yrs 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
OccupationOptometrist
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectOptometry
Donor's Father Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:German-English
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		Golf - 35 years
Donor's Father Physical Information
Body
Age49
Height6'1''
Weight210 lbs
HandsLeft-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		17
Hair:
Original hair color Brown
If gray, age turned gray44
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Accountant
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectAccounting
Donor's Mother Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:English
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		Interior Design - 20
Donor's Mother Physical Information
Body
Age49
Height5'10''
Weight180 lbs
HandsRight-Handed
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 gray44
TypeCurly
Skin:
Skin ToneMedL
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesSlight
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
SexMale
Age20
Height5'10''
Weight160 lbs
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelSome college
DegreePursuing
SubjectSports Management
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceTenor
Instrument
Years of experience		None
Other
Years of experience		Basketball - 15
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeCurly
Skin:
Skin toneLight
Skin conditionDry
Other:
Chin cleftNone
Ear lobeAttached
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
Age14
Height5'10''
Weight120 lbs
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral studies
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		Dance - 10
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorHazel
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 toneMedL
Skin conditionDry
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:56
Education levels for each:Bachelor's
Occupations for each:Engineer
Religions for each:Christian
Father's Brothers' Total Children:
# Boys1
# Girls2
Father's Sisters
# of Sisters4
Ages of Sisters:65, 63, 60, 53
Education levels for each:Bachelor's, Bachelor's, Bachelor's, Bachelor's
Occupations for each:Teacher, Teacher, Social Worker, Geologist
Religions for each:Christian, Christian, Christian, Christian
Father's Sisters' Total Children:
# Boys3
# Girls6
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:48, 45
Education levels for each:Bachelor's, Bachelor's
Occupations for each:Salesman, Engineer
Religions for each:Christian, Christian
Mother's Brothers' Total Children:
# Boys3
# Girls4
Mother's Sisters
# Sisters2
Ages of Sisters:47, 42
Education levels for each:Bachelor's, Bachelor's
Occupations for each:Nurse, Teacher
Religions for each:Christian, Christian
Mother's Sisters' Total Children:
# Boys4
# Girls2
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectEngineering
Occupation:Engineer
Primary ethnic origins:German, English
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelSome college
DegreeNot completed
SubjectGeneral studies
Occupation:Homemaker
Primary ethnic origins:German, English
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGraduate
DegreeDoctorate
SubjectDentistry
Occupation:Dentist
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Secretary
Primary ethnic origins:English
Siblings:
# Brothers0
# Sisters4
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0