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		Sports (Golf, Volleyball, Baseball, Basketball) - 24
Favorite:
ColorRed
FoodSteak
MusicClassic Rock, Rock
AnimalDogs
PetDog
CarMercedes Benz E63
Movie"The Shawshank Redemption"
Song"Shine" by Collective Soul
PlayNone
Goals:
AcademicCollege degree (attained)
Professional To own my own company
PersonalTo be a good father and husband
Religion:
Faith Christian
Denomination Assembly of God
Languages:
SpeakEnglish, some Spanish
ReadEnglish, some Spanish
WriteEnglish, some Spanish
Sports:
PlayGolf, Volleyball, Baseball, Basketball, Tennis, Football
WatchAlmost any sports
Siblings:
# Brothers1
# 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		N/A
ACT
on scale of		29
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 		3.854.0
College
Question Response on scale of
GPA
on scale of 		2.864.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsBusiness Management
Minor subjectsN/A
Degrees
Bachelor'sBS/Management
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolNational Honor Society, Varsity Golf state championship
CollegeDistinguished Academic All-American in Golf
AcademicBachelor's degree
Professional N/A
Political N/A
Personal N/A
Charitable Various church related financial donations and volunteering
OthersN/A

Military

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

Physical Features

HandsLeft-Handed
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)42
Inseam (inches)32.5
Waist (inches)34
Sleeve (inches)34
Wrist (inches)7
Hat size7.5
Shoe size10.5

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use8-10
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
OccupationLineman/Electrician
Donor's Father Education:
LevelCollege
DegreeAssociate
SubjectBusiness
Donor's Father Religion:
Faith Christian
Denomination Methodist
Primary ethnic origins:Dutch, French
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		Piano - 5
Other
yrs experience		None
Donor's Father Physical Information
Body
Age57
Height6'1"
Weight185 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		12
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesMedium
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Child caregiver
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Methodist
Primary ethnic origins:Irish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano - 5
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age60
Height5'10'
Weight165 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		45
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesMedium
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 siblingHalf
Sibling #1 Physical Information
Body
SexMale
Age33
Height5'10"
Weight190 lbs.
HandsLeft-Handed
Sibling #1 Personal Information
Occupation Audio Engineer
Education:
LevelCollege
DegreeBachelor
SubjectEngineering
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
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 Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts20
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesMedium
Military
Served in militaryYes
BranchAir Force
RankSenior Airman
Years of service4
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age27
Height5'10"
Weight165 lbs.
HandsLeft-Handed
Sibling #2 Personal Information
Occupation Bank Teller
Education:
LevelSome college
DegreePursuing
SubjectPhotography
Religion:
Faith Christian
Denomination Methodist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Piano - 4
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBlue
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 lobeDetached
Facial dimplesMedium
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:59, 55
Education levels for each:Bachelor's, Bachelor's
Occupations for each:Sales, Truck Driver
Religions for each:Christian, Christian
Father's Brothers' Total Children:
# Boys1
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:64
Education levels for each:Some College
Occupations for each:Engineer
Religions for each:Christian
Mother's Brothers' Total Children:
# Boys4
# Girls0
Mother's Sisters
# Sisters4
Ages of Sisters:68, 66, 58, 55
Education levels for each:Bachelor's, High School, Bachelor's, High School
Occupations for each:Homemaker, Sales, Clerical work, Farmer
Religions for each:Christian, Christian, Christian, Christian
Mother's Sisters' Total Children:
# Boys6
# Girls3
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Factory Worker
Primary ethnic origins:Dutch, French
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankPrivate First Class
Service Yrs4
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Business Management
Primary ethnic origins:Dutch, French
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Farmer/Rancher
Primary ethnic origins:Irish
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankPrivate First Class
Service Yrs6
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Farmer/Rancher
Primary ethnic origins:Irish
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchArmy
RankPrivate
Service Yrs3