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		Sport, comical impressions - 20
Favorite:
ColorSilver
FoodSteak
MusicAll
AnimalTiger
PetDog
Car1969 Mustang
MovieDumb and Dumber
SongTo many to choose one
PlayLion King
Goals:
AcademicBS
Professional Supervisor
PersonalKids
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayFootball, Boxing, Softball, Hockey, Baseball
WatchFootball, Baseball, Hockey, Boxing
Siblings:
# Brothers1
# Sisters0
Are you a twin?
Identical or fraternal?		No
# of twins in your family1 set - maternal aunts
# Identical sets0
# Fraternal sets1

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		1765
ACT
on scale of		23.5
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 		3.04.0
College
Question Response on scale of
GPA
on scale of 		3.04.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsVeterinary Technology
Minor subjectsN/A
Degrees
Bachelor'sN/A
Master'sN/A
DoctorateN/A
Other(s)AAS/Veterinary Techncian
Awards & Activities
High schoolCommunity service award, Varsity football, baseball, track, wrestling
CollegeFootball
AcademicDean's List
Professional Longevity award
Political N/A
Personal Humanity award
Charitable Humane Society award
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)17
Chest (inches)48
Inseam (inches)32
Waist (inches)38
Sleeve (inches)36
Wrist (inches)8
Hat size7.25
Shoe size11

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts6
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use8-14
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
OccupationLab Technician
Donor's Father Education:
LevelSome college
DegreeDiploma
SubjectVocational
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:French
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Father Physical Information
Body
Age53
Height5' 10"
Weight230
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Black
If gray, age turned gray42
TypeStraight
Skin:
Skin ToneMedDk
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryYes
BranchArmy
RankSergeant
Years of service15
Donor's Mother Personal Information
Occupation Social Services
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectAccounting
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:German
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano - 47
Other
yrs experience		N/A
Donor's Mother Physical Information
Body
Age52
Height5' 9"
Weight145
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismYes
Age started wearing glasses/contacts
yrs		6
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMedDk
Skin ConditionMedium
Other:
Chin cleftMedium
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
Age29
Height6' 4"
Weight310
HandsRight-Handed
Sibling #1 Personal Information
Occupation Landscaper
Education:
LevelSome college
DegreeNot Completed
SubjectGeneral studies
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts10
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedDk
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Sisters
# of Sisters1
Ages of Sisters:50
Education levels for each:Bachelors
Occupations for each:Accountant
Religions for each:Catholic
Father's Sisters' Total Children:
# Boys2
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:48
Education levels for each:High school
Occupations for each:Farmer
Religions for each:Catholic
Mother's Brothers' Total Children:
# Boys0
# Girls0
Mother's Sisters
# Sisters3
Ages of Sisters:68, 50, 50
Education levels for each:All Bachelors
Occupations for each:Social services, Accountant, Accountant
Religions for each:Lutheran, Lutheran, Catholic
Mother's Sisters' Total Children:
# Boys5
# Girls4
Father's Parents
Father's Father
Education
LevelMiddle School
DegreeN/A
SubjectGeneral studies
Occupation:Retired Army
Primary ethnic origins:French
Siblings:
# Brothers4
# Sisters1
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchArmy
RankSergeant
Service Yrs32
Father's Mother
Education
LevelHigh School
DegreeN/A
SubjectGeneral studies
Occupation:Retired
Primary ethnic origins:French
Siblings:
# Brothers3
# Sisters3
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchNo
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelMiddle School
DegreeN/A
SubjectGeneral studies
Occupation:Deceased
Primary ethnic origins:German
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchNo
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh School
DegreeN/A
SubjectGeneral studies
Occupation:Deceased
Primary ethnic origins:German
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesEnglish
ReligionCatholic
Military
BranchNo
RankN/A
Service Yrs0