Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Donor's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Baritone
Instrument:
Years of experience:		Piano - 3
Other talents:
Years of experience		Drawing, painting - Since childhood
Favorite:
ColorBlue
FoodSteak and Potatoes
MusicRock n' Roll, Hip-Hop
AnimalLion
PetMy cat
CarCadillacs
MovieAll the Rocky's
SongEye of the Tigar
PlayThe Full Monty
Goals:
AcademicTo learn as much as I can about the things that I enjoy to do.
Professional To be financially comfortable without taking away from my personal life.
PersonalTo experience fun and exciting things, people, and places.
Religion:
Faith Christian
Denomination Lutheran
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayBasketball, Football, Golf, Taekwondo, Wakeboarding, anything active
WatchAll of the above
Siblings:
# Brothers0
# Sisters1
Are you a twin?
Identical or fraternal?		No
# of twins in your family2
# Identical sets2
# Fraternal setsN/A

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		N/A
ACT
on scale of		23
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 subjectsVisual Communications
Minor subjectsN/A
Degrees
Bachelor'sN/A
Master'sN/A
DoctorateN/A
Other(s)AA Degree in Visual Communications
Awards & Activities
High schoolN/A
CollegeN/A
AcademicN/A
Professional N/A
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

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

Physical Features

HandsAmbidextrous
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)40
Inseam (inches)36
Waist (inches)36
Sleeve (inches)35
Wrist (inches)7
Hat size7
Shoe size11

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts27
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use15 to 17
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
OccupationResearch Analyst
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectAmerican History
Donor's Father Religion:
Faith Other
Denomination None
Primary ethnic origins:Norwegian, German
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age64
Height5'11"
Weight200 lbs
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismYes
Age started wearing glasses/contacts
yrs		25
Hair:
Original hair color Brown
If gray, age turned gray45
TypeWavy
Skin:
Skin ToneLight
Skin ConditionDry
Other:
Chin cleftMedium
Ear lobeAttached
Facial DimplesSlight
Military
Served in MilitaryYes
BranchAirforce
RankAirman
Years of service4
Donor's Mother Personal Information
Occupation Teacher
Donor's Mother Education:
LevelGraduate school
DegreeMaster
SubjectEnglish
Donor's Mother Religion:
Faith Christian
Denomination Lutheran
Primary ethnic origins:German, Norwegian
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano - 5 years
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age65
Height5'5''
Weight130 lbs
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismYes
Age started wearing glasses/contacts
yrs		12
Hair:
Original hair color Brown
If gray, age turned gray50
TypeStraight
Skin:
Skin ToneMed
Skin ConditionCombination
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
Age35
Height5'6''
Weight137 lbs
HandsRight-Handed
Sibling #1 Personal Information
Occupation Editor
Education:
LevelGraduate school
DegreeMaster
SubjectCreative Writing
Religion:
Faith Christian
Denomination Luthern
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Violin, Piano - 6, 6
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1 - 1
# Girls
Ages:		1 - 3
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts16
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionOily
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Mother's Siblings
Mother's Sisters
# Sisters1
Ages of Sisters:59
Education levels for each:Bachelor's
Occupations for each: Secretary
Religions for each:Lutheran
Mother's Sisters' Total Children:
# Boys0
# Girls2
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral studies
Occupation:Dairy Farmer
Primary ethnic origins:Norwegian
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesEnglish
ReligionLuthern
Military
BranchNo
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral studies
Occupation:Homemaker
Primary ethnic origins:German
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchNo
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral studies
Occupation:Business Owner
Primary ethnic origins:Norwegian
Siblings:
# Brothers5
# Sisters5
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchNo
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral studies
Occupation:Homemaker
Primary ethnic origins:German
Siblings:
# Brothers4
# Sisters5
Other:
LanguagesEnglish
ReligionLutheran
Military
BranchNo
RankN/A
Service Yrs0