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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:Tenor
Instrument:
Years of experience:		None
Other talents:
Years of experience		None
Favorite:
ColorLagoon Blue
FoodSunflower Seed Butter and Pepper Jelly
MusicFolk Tunes
AnimalOpossum
PetRabbits, Dogs
CarToyota Truck
Movie"Un Prophète" by Jacques Audiard
Song"8-5 5-10" by Woods
PlayWhatever is playing in a small local theater
Goals:
AcademicNone
Professional Put together a book
PersonalStart a farm community, Pay off my loans before the month ends
Religion:
Faith None
Denomination Atheist
Languages:
SpeakEnglish, some Spanish
ReadEnglish
WriteEnglish
Sports:
PlayBiking, Climbing
WatchBaseball
Siblings:
# Brothers1
# SistersN/A
Are you a twin?
Identical or fraternal?		No
# of twins in your family0
# Identical setsN/A
# 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		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 		3.24.0
College
Question Response on scale of
GPA
on scale of 		3.374.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsPhotography
Minor subjectsFine Art
Degrees
Bachelor'sBS/Photography
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolN/A
CollegeAwarded two scholarships which paid for my university attendance
AcademicN/A
Professional N/A
Political N/A
Personal N/A
Charitable Volunteer at a neighborhood service organization benefiting underserved urban youth
OthersWildlife sanctuary volunteer

Military

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

Physical Features

HandsAmbidextrous
FingersLong
Sizes & Measurements
Neck (inches)14
Chest (inches)37
Inseam (inches)30
Waist (inches)31
Sleeve (inches)29
Wrist (inches)6.5
Hat size7.12
Shoe size10

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use10-15
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
OccupationConstruction Superintendent
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectConstruction Management
Donor's Father Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins:French, English, Dutch
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
Age54
Height5'11"
Weight165 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		30
Hair:
Original hair color Auburn
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Medical Researcher
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectNursing
Donor's Mother Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins:Swedish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age49
Height5'7"
Weight150 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		45
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeCurly
Skin:
Skin ToneMedDk
Skin ConditionDry
Other:
Chin cleftNone
Ear lobeDetached
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 siblingHalf
Sibling #1 Physical Information
Body
SexMale
Age11
Height5'2"
Weight90 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelGrade school
DegreeNot Completed
SubjectGeneral Studies
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismN/A
Age started wearing glasses/contacts0
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedDk
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 Brothers1
Ages of Brothers:68
Education levels for each:Bachelor's
Occupations for each:Social Services (retired)
Religions for each:Agnostic
Father's Brothers' Total Children:
# BoysN/A
# GirlsN/A
Father's Sisters
# of Sisters2
Ages of Sisters:65 (deceased), 65
Education levels for each:High school, High school
Occupations for each:Truck driver, Tailor
Religions for each:Agnostic, Agnostic
Father's Sisters' Total Children:
# Boys3
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:62, 61, 60
Education levels for each:High school, Bachelor's, Bachelor's
Occupations for each:Wildlife Management, Policeman, Minister
Religions for each:All are Protestant
Mother's Brothers' Total Children:
# Boys3
# Girls2
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectBusiness
Occupation:Sales, Marketing
Primary ethnic origins:English
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchNavy
RankUnknown
Service Yrs4
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Secretary
Primary ethnic origins:French, English, Dutch
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Wildlife Management
Primary ethnic origins:Swedish
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionProtestant
Military
BranchArmy
RankCaptain
Service Yrs5
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Special Needs Educator
Primary ethnic origins:Swedish
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionProtestant
Military
BranchN/A
RankN/A
Service Yrs0