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:Bass
Instrument:
Years of experience:		None
Other talents:
Years of experience		Creative Writing - 8
Favorite:
ColorGreen
FoodSushi
MusicRock
AnimalFox
PetCat
CarAudi Quattro
MovieCasablanca
SongAnything by Led Zeppelin
PlayMy Fair Lady
Goals:
AcademicTo earn my Master's in a field interesting to me
Professional To find a career in which I can invest myself and thrive
PersonalTo be satisfied with my work and relationships
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, some French
ReadEnglish, some French
WriteEnglish, some French
Sports:
PlayBaseball
WatchFootball, Baseball, Hockey
Siblings:
# Brothers0
# 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		1420 - out of 1600
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 		3.84.0
College
Question Response on scale of
GPA
on scale of 		3.24.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsElectrical Engineering
Minor subjectsMath
Degrees
Bachelor'sBS/Electrical Engineering
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolNational Merit, National Honor Society, State Distinguished Scholar, Awards for Best English and Best French Student
CollegeUniversity Honors Program
AcademicN/A
Professional Institute of Electrical and Electronics Engineers
Political N/A
Personal Eagle Scout
Charitable Run charity events for Child's Play
OthersN/A

Military

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

Physical Features

HandsAmbidextrous
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)40
Inseam (inches)33
Waist (inches)33
Sleeve (inches)34
Wrist (inches)6
Hat size7
Shoe size10.5

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts7
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
OccupationPostal Worker
Donor's Father Education:
LevelSome college
DegreeNot Completed
SubjectPhysical Education
Donor's Father Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Scottish, Native American
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBass
Instrument
yrs experience		Oboe - 3
Other
yrs experience		None
Donor's Father Physical Information
Body
Age60
Height5'11"
Weight240 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		12
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftMedium
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Daycare Provider
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Irish, 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
Age60
Height5'10"
Weight125 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Vision Far-Sighted
GlassesBifocal
AstigmatismYes
Age started wearing glasses/contacts
yrs		15
Hair:
Original hair color Brown
If gray, age turned gray55
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionDry
Other:
Chin cleftNone
Ear lobeDetached
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
SexFemale
Age23
Height5'9"
Weight155 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Biologist
Education:
LevelCollege
DegreeBachelor
SubjectBiology
Religion:
Faith Christian
Denomination Non-denominational
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 Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts8
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftMedium
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers1
Ages of Brothers:58
Education levels for each:High School
Occupations for each:Mechanic
Religions for each:Christian
Father's Brothers' Total Children:
# BoysN/A
# GirlsN/A
Father's Sisters
# of Sisters1
Ages of Sisters:59
Education levels for each:Bachelor's
Occupations for each:Optometrist
Religions for each:Christian
Father's Sisters' Total Children:
# Boys0
# Girls0
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:57, 55, 54
Education levels for each:Bachelor's, Bachelor's, High School
Occupations for each:Police Officer, Accountant, Mechanic
Religions for each:Christian, Christian, Christian
Mother's Brothers' Total Children:
# Boys1
# Girls1
Mother's Sisters
# Sisters3
Ages of Sisters:59, 56, 52
Education levels for each:Master's, High School, Bachelor's
Occupations for each:Therapist, None (Handicapped), Publishing Executive
Religions for each:Christian, Christian, Christian
Mother's Sisters' Total Children:
# Boys0
# Girls0
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Salesman
Primary ethnic origins:Scottish
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchNavy
RankPetty Officer First Class
Service Yrs2
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Intelligence Analyst
Primary ethnic origins:Scottish, Native American
Siblings:
# Brothers2
# Sisters3
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Foreman
Primary ethnic origins:Irish
Siblings:
# Brothers3
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Computer Support
Primary ethnic origins:Irish, German
Siblings:
# Brothers3
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0