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:		Piano - 7
Other talents:
Years of experience		Bird-watching - 20
Favorite:
ColorGreen
FoodSushi
MusicClassic rock
AnimalPenguin
PetCat
CarHonda
MovieThe Good, the Bad and the Ugly
Song"Unbroken Chain" by Grateful Dead
PlayLes Miserables
Goals:
AcademicPhD in Biology
Professional Professor of Biology at a university
PersonalHave a loving family, research ornithology (birds)
Religion:
Faith Jewish
Denomination Reconstructionist
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Sports:
PlaySoccer, Ice skating, Hockey
WatchHockey, Football, Baseball
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		1360 - out of 1600
ACT
on scale of		N/A
GRE
on scale of		88 - out of 100
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 		3.34.0
College
Question Response on scale of
GPA
on scale of 		3.294.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.974.0
Subjects Studied:
Major subjectsBiology
Minor subjectsN/A
Degrees
Bachelor'sBS/Biology
Master'sPursuing MS/Biology
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolGraduating senior science award, Honor roll
CollegeAcademic scholarship
AcademicHonor roll, Dean's list
Professional Research specialist in neuroscience
Political N/A
Personal N/A
Charitable Volunteer at summer camps for biology
OthersEnjoy nature and bird watching, love skating and ice hockey

Military

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

Physical Features

HandsLeft-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14
Chest (inches)32
Inseam (inches)34
Waist (inches)29
Sleeve (inches)30.5
Wrist (inches)6.5
Hat size7.125
Shoe size10.5

Physical Aids

Eyes:
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts17
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use15-17
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
OccupationOphthalmologist
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectOphthalmology
Donor's Father Religion:
Faith Christian
Denomination Episcopalian
Primary ethnic origins:English
Donor's Father Languages:
SpeakEnglish, French
ReadEnglish, French
WriteEnglish, French
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		Studying bird songs, moss species - 40
Donor's Father Physical Information
Body
Age57
Height6'2"
Weight165 lbs.
HandsLeft-Handed
Donor's Father Facial Features
Eyes:
Eye ColorGreen
Eye shadeDark
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		18
Hair:
Original hair color Black
If gray, age turned gray50
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Sales
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectCommunications
Donor's Mother Religion:
Faith Jewish
Denomination Reconstructionist
Primary ethnic origins:Austrian Jewish, Russian Jewish
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		Piano - 15
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age57
Height5'0"
Weight95 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Far-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		18
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionMedium
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 siblingFull
Sibling #1 Physical Information
Body
SexMale
Age23
Height6'0"
Weight145 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreeBachelor
SubjectMusic Performance, Music Education
Religion:
Faith Jewish
Denomination Reconstructionist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceBaritone
Instrument
Years of experience		Trumpet, Piano - 13, 10
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts17
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Sisters
# of Sisters2
Ages of Sisters:56, 54
Education levels for each:Bachelor's, Bachelor's
Occupations for each:Teacher, Banker
Religions for each:Episcopalian, Episcopalian
Father's Sisters' Total Children:
# Boys0
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:60
Education levels for each:Bachelor's
Occupations for each:Real Estate
Religions for each:Jewish
Mother's Brothers' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectEducation
Occupation:Teacher
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish, French
ReligionEpiscopalian
Military
BranchBritish Army (Home Guard)
RankPrivate
Service Yrs4
Father's Mother
Education
LevelCollege
DegreeBachelor's
SubjectEducation
Occupation:Teacher
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionEpiscopalian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Postal worker
Primary ethnic origins:Russian
Siblings:
# Brothers3
# Sisters1
Other:
LanguagesEnglish, Yiddish
ReligionJewish
Military
BranchArmy
RankSergeant
Service Yrs4
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Austrian
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish, Yiddish
ReligionJewish
Military
BranchN/A
RankN/A
Service Yrs0