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:		None
Other talents:
Years of experience		None
Favorite:
ColorGreen
FoodShrimp
MusicR&B, Hip-Hop
AnimalSnow leopard
PetBeagle
CarCorvette Stingray
MovieAugust Rush
Song"And He Gets the Girl" by Lupe Fiasco
PlayChicago the Musical
Goals:
AcademicTo earn a Doctorate
Professional To find a career that doesn’t feel like work
PersonalTo be happy
Religion:
Faith Christian
Denomination Pentecostal
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayFootball, Basketball, Baseball
WatchFootball, Basketball
Siblings:
# Brothers0
# Sisters1
Are you a twin?
Identical or fraternal?		No
# of twins in your family3
# Identical sets2
# Fraternal sets1

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		N/A
ACT
on scale of		27 - out of 36
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 		3.754.00
College
Question Response on scale of
GPA
on scale of 		2.304.00
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsMarketing
Minor subjectsN/A
Degrees
Bachelor'sPursuing BA/Marketing
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolState Scholar, Presidential Academic Scholar, National Honor Society
CollegeN/A
AcademicN/A
Professional N/A
Political N/A
Personal N/A
Charitable Over 120 hours of community service
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)38
Inseam (inches)32
Waist (inches)31
Sleeve (inches)34
Wrist (inches)7
Hat size7.375
Shoe size10.5

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts11
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListNone
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
OccupationArtist
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectIllustration
Donor's Father Religion:
Faith Christian
Denomination Pentecostal
Primary ethnic origins:African American
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		None
Other
yrs experience		Painting - 40
Donor's Father Physical Information
Body
Age50
Height5’9"
Weight175 lbs.
HandsLeft-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		15
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMedDk
Skin ConditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Registered Nurse
Donor's Mother Education:
LevelCollege
DegreeMaster
SubjectNursing
Donor's Mother Religion:
Faith Christian
Denomination Pentecostal
Primary ethnic origins:African American
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
Age50
Height5’7"
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 grayN/A
TypeCurly
Skin:
Skin ToneMed
Skin ConditionCombination
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
Age20
Height5’10"
Weight175 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreeNot Completed
SubjectPharmacy
Religion:
Faith Christian
Denomination Pentecostal
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeCurly
Skin:
Skin toneMed
Skin conditionCombination
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers5
Ages of Brothers:54, 50, 47, 40, 37
Education levels for each: Unknown, Bachelor's, Bachelor's, High school, Bachelor's
Occupations for each:Unknown, Artist/Teacher, Business Owner, Unknown, Business Owner
Religions for each:All are Christian
Father's Brothers' Total Children:
# Boys7
# Girls3
Father's Sisters
# of Sisters3
Ages of Sisters:52, 45, 42 (deceased)
Education levels for each:Unknown, High school, Unknown
Occupations for each:Caregiver, Unknown, Secretary
Religions for each:All are Christian
Father's Sisters' Total Children:
# Boys1
# Girls7
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:51
Education levels for each:High school
Occupations for each:Dog Trainer
Religions for each:Christian
Mother's Brothers' Total Children:
# Boys3
# Girls0
Mother's Sisters
# Sisters1
Ages of Sisters:52
Education levels for each:High school
Occupations for each:Government Employee
Religions for each:Christian
Mother's Sisters' Total Children:
# Boys1
# Girls0
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Factory Worker
Primary ethnic origins:African American
Siblings:
# Brothers2
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankUnknown
Service Yrs0 - Unknown
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Factory Worker
Primary ethnic origins:African American
Siblings:
# Brothers2
# Sisters4
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Business Owner
Primary ethnic origins:African American
Siblings:
# Brothers3
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankUnknown
Service Yrs0 - Unknown
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Factory Worker
Primary ethnic origins:African American
Siblings:
# Brothers2
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0