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:
ColorBlue
FoodFilet mignon
MusicAlternative Rock
AnimalLiger
PetDog
CarAudi R8
Movie"Kiss Kiss Bang Bang"
Song"You're Beautiful" by James Blunt
Play"Fiddler on the Roof"
Goals:
AcademicTo complete my Master's degree
Professional To start a consulting firm
PersonalTo obtain health, wealth and happiness
Religion:
Faith None
Denomination Atheist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayCurrently: None. Previously: Football, Baseball, Wrestling
WatchFootball, Baseball
Siblings:
# Brothers1
# Sisters2
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		1390 (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 		3.554.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.504.0
Subjects Studied:
Major subjectsComputer Networks, Computer Science, Microcontrollers
Minor subjectsMath, Physics
Degrees
Bachelor'sBS/Computer Engineering
Master'sPursuing MS/Software Engineering
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolAir Force Junior ROTC, Wrestling
CollegeN/A
AcademicN/A
Professional N/A
Political N/A
Personal N/A
Charitable Volunteer at County Animal Shelter
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)41.5
Inseam (inches)32
Waist (inches)32
Sleeve (inches)31
Wrist (inches)6.75
Hat size7
Shoe size10

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
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
OccupationInvestigator
Donor's Father Education:
LevelSome college
DegreeNot Completed
SubjectUndeclared
Donor's Father Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Polish
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age52
Height6'1"
Weight175 lbs.
HandsLeft-Handed
Donor's Father 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 gray45
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryYes
BranchCoast Guard
RankSeaman Apprentice
Years of service4
Donor's Mother Personal Information
Occupation Registered Nurse
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectNursing
Donor's Mother Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Czech, French
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"
Weight125 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
TypeWavy
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age22
Height5'7"
Weight130 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelSome college
DegreePursuing
SubjectNursing
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Piano - 10
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		1 - 0.5
Sibling #1 Facial Features
Eyes:
Eye colorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Auburn
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
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age18
Height5'5"
Weight115 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelSome college
DegreePursuing
SubjectNursing
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
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
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexMale
Age13
Height4'9"
Weight120 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Auburn
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesDeep
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:58, 55
Education levels for each:High School, Doctorate
Occupations for each:Construction, Physician
Religions for each:Catholic, Agnostic
Father's Brothers' Total Children:
# Boys0
# Girls3
Father's Sisters
# of Sisters1
Ages of Sisters:62
Education levels for each:High School
Occupations for each:Homemaker
Religions for each:Catholic
Father's Sisters' Total Children:
# Boys0
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:54, 42, 40
Education levels for each:High School, Bachelor's, High School
Occupations for each:Train Conductor, Computer Programmer, Chef
Religions for each:Christian, Christian, Christian
Mother's Brothers' Total Children:
# Boys0
# Girls7
Mother's Sisters
# Sisters5
Ages of Sisters:56, 48, 46, 45, 43
Education levels for each:High School, High School, Bachelor's, Bachelor's, College (currently enrolled)
Occupations for each:Office Administrator, Manager, Accountant, Accountant, Student
Religions for each:Christian, Christian, Christian, Christian, Christian
Mother's Sisters' Total Children:
# Boys11
# Girls5
Father's Parents
Father's Father
Education
LevelGraduate School
DegreeMaster's
SubjectBusiness Administration
Occupation:Business Executive (retired)
Primary ethnic origins:Polish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchMarines
RankE3
Service Yrs4
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Polish
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelSome College
DegreeNot Completed
SubjectBusiness
Occupation:Radio Announcer, Sales
Primary ethnic origins:French
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:Czech
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0