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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:		Drums - 4
Other talents:
Years of experience		Guitar - 3
Favorite:
ColorRed
FoodChicken Parmigiana
MusicClassic rock, Hip hop, mostly all types of music
AnimalFish
PetDogs
CarPontiac
Movie"A Beautiful Mind"
Song"Born to Run"
Play"Phantom of the Opera"
Goals:
AcademicTo earn a 4.0 GPA
Professional To have a successful business in physical therapy
PersonalI want to have a family, kids, and live comfortably knowing that my family will be taken care of
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Portuguese
ReadEnglish, Portuguese
WriteEnglish, Portuguese
Sports:
PlayHockey, Football, Baseball, Soccer, Wrestling, Martial Arts, Basketball
WatchHockey, Football, Baseball, Soccer, Wrestling, Martial Arts, Basketball
Siblings:
# Brothers1
# 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		1400 (out of 1600)
ACT
on scale of		N/A
GRE
on scale of		310
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 		3.74.0
College
Question Response on scale of
GPA
on scale of 		3.924.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.844.0
Subjects Studied:
Major subjectsPhysical Therapy
Minor subjectsN/A
Degrees
Bachelor'sBS/Biology
Master'sN/A
DoctoratePursuing DPT/ Physical Therapy
Other(s)Certified Personal Trainer
Awards & Activities
High schoolAwards for Track & Field, Wrestling; Basketball, Soccer, Baseball
CollegeDean's List almost every semester
AcademicGraduated in top 5% of class, National Honor Society
Professional N/A
Political N/A
Personal Sports-related website creator
Charitable N/A
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14
Chest (inches)42
Inseam (inches)32
Waist (inches)32
Sleeve (inches)32
Wrist (inches)8
Hat size7
Shoe size11

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
OccupationField Manager
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Italian
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Drums - 2
Other
yrs experience		None
Donor's Father Physical Information
Body
Age59
Height5'11"
Weight175 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorGreen
Eye shadeLight
Vision Far-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		50
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryYes
BranchArmy
RankPrivate First Class
Years of service4
Donor's Mother Personal Information
Occupation Secretary
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectAccounting
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Italian
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		Flute - 4
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age56
Height5'4"
Weight125 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeLight
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 ConditionMedium
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
SexMale
Age25
Height5'10"
Weight185 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Police Officer
Education:
LevelCollege
DegreeBachelor
SubjectAccounting
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceBaritone
Instrument
Years of experience		Trumpet - 4
Other
Years of experience		None
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
TypeStraight
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 Sisters
# of Sisters1
Ages of Sisters:65
Education levels for each:Bachelor's
Occupations for each:Teacher
Religions for each:Catholic
Father's Sisters' Total Children:
# Boys0
# Girls1
Mother's Siblings
Mother's Sisters
# Sisters3
Ages of Sisters:63, 59, 43
Education levels for each:Bachelor's, Bachelor's, Bachelor's
Occupations for each:Secretary, Secretary, Executive Accountant
Religions for each:Catholic, Catholic, Catholic
Mother's Sisters' Total Children:
# Boys1
# Girls9
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Business Owner
Primary ethnic origins:Italian
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchArmy
RankCorporal
Service Yrs10
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Italian
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Electrician
Primary ethnic origins:Italian
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesItalian, English
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Italian
Siblings:
# Brothers3
# Sisters1
Other:
LanguagesItalian, English
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0