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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:
ColorBaby blue
FoodMexican
MusicIndie
AnimalDog
PetDog
CarDislike cars
MovieOut Cold
SongDon't have a favorite
PlayDon't have a favorite
Goals:
AcademicObtain an MD
Professional Reach the rank of Captain as a physician in the US Navy
PersonalRun a marathon in all 50 states
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayRunning, Soccer, Softball
WatchFootball, Basketball, Baseball, Soccer, Hockey
Siblings:
# Brothers2
# 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		26 - out of 36
GRE
on scale of		N/A
MCAT
on scale of		N/A
LSAT
on scale of		153 - out of 170
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 		3.404.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsPolitical Science
Minor subjectsHistory, Economics
Degrees
Bachelor'sBA/Political Science
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolFootball, Wrestling, Track
CollegeDean's List, Honor Society
AcademicN/A
Professional Special award (US Navy); Military Officers Association of America
Political N/A
Personal Avid runner
Charitable N/A
OthersN/A

Military

Served in militaryYes
BranchUS Navy
RankLieutenant
Years of service8

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)14.75
Chest (inches)38.25
Inseam (inches)34
Waist (inches)32
Sleeve (inches)33
Wrist (inches)7.5
Hat size7.25
Shoe size12

Physical Aids

Eyes:
Vision Normal - (Near-sighted before Lasik)
GlassesNone - ("Single" glasses before Lasik)
AstigmatismYes
Age started wearing glasses/contacts11
Laser surgery?Yes
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
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 Foreman
Donor's Father Education:
LevelGrade school
DegreeNot Completed
SubjectGeneral Studies
Donor's Father Religion:
Faith Other
Denomination Agnostic
Primary ethnic origins:German, Scottish
Donor's Father Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age55
Height5'9"
Weight190 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Blond
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 Mother Personal Information
Occupation Nurse Practitioner
Donor's Mother Education:
LevelGraduate school
DegreeMaster
SubjectFamily Nurse Practitioner
Donor's Mother Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Swedish, English
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age52
Height5'9"
Weight135 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
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
SexMale
Age30
Height5'9"
Weight185 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Government Official
Education:
LevelCollege
DegreeBachelor
SubjectBusiness Administration
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Drums - 16
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1 - 1
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedDk
Skin conditionOily
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesMedium
Military
Served in militaryYes
BranchArmy
RankTechnical Sergeant
Years of service3
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age28
Height5'6"
Weight160 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Nurse
Education:
LevelCollege
DegreeAssociate
SubjectNursing
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		1 - 10
Sibling #2 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts9
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #3
Full/Half siblingHalf
Sibling #3 Physical Information
Body
SexMale
Age18
Height6'2"
Weight155 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Student
Education:
LevelSome college
DegreePursuing
SubjectHistory
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		Saxophone - 6
Other
Years of experience		None
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
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 Brothers4
Ages of Brothers:64, 56, 50, 48
Education levels for each:All have high school
Occupations for each:All are railroad laborers
Religions for each:All are agnostic
Father's Brothers' Total Children:
# Boys2
# Girls4
Father's Sisters
# of Sisters2
Ages of Sisters:63, 58
Education levels for each:High school, High school
Occupations for each:Ranch owner, Railroad Engineer
Religions for each:Christian, Agnostic
Father's Sisters' Total Children:
# Boys3
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:68, 60
Education levels for each:High school, High school
Occupations for each:Postmaster, Diesel Mechanic
Religions for each:Christian, Agnostic
Mother's Brothers' Total Children:
# Boys1
# Girls3
Mother's Sisters
# Sisters1
Ages of Sisters:65
Education levels for each:High school
Occupations for each:Postal Worker
Religions for each:Agnostic
Mother's Sisters' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Salesman
Primary ethnic origins:Scottish
Siblings:
# Brothers3
# Sisters2
Other:
LanguagesEnglish
ReligionChristian
Military
BranchNavy
RankPetty Officer 3rd Class
Service Yrs3
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:German
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:Diesel Mechanic
Primary ethnic origins:English
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesEnglish
ReligionAgnostic
Military
BranchNavy
RankPetty Officer 3rd Class
Service Yrs3
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Swedish
Siblings:
# Brothers7
# Sisters6
Other:
LanguagesEnglish
ReligionAgnostic
Military
BranchN/A
RankN/A
Service Yrs0