Questions

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

Personal Information

Talents:
Voice:Tenor
Instrument:
Years of experience:		N/A
Other talents:
Years of experience		N/A
Favorite:
ColorYellow
FoodShrimp
MusicClassical
AnimalHorse
PetDog
CarFerrari
MovieAmerican Beauty
SongEye of the Tiger
PlayKing Lear
Goals:
AcademicMD, maybe an MBA or MS in Computer Science
Professional Be a good physician
PersonalBe content and without regret
Religion:
Faith None
Denomination None
Languages:
SpeakEnglish, Chinese, some Spanish
ReadEnglish, Chinese, some Spanish
WriteEnglish, Chinese, some Spanish
Sports:
PlayWeightlifting, Tennis, Swimming
WatchFootball, Tennis
Siblings:
# Brothers0
# Sisters0
Are you a twin?
Identical or fraternal?		N/A
# of twins in your familyN/A
# Identical sets
# Fraternal sets

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		1280
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 		3.94
College
Question Response on scale of
GPA
on scale of 		3.74
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsMedicine, Computer Science
Minor subjectsN/A
Degrees
Bachelor'sBA/Computer Science
Master'sN/A
DoctoratePursuing MD
Other(s)N/A
Awards & Activities
High schoolN/A
CollegeScholarships
AcademicGeneral Honors, Dean's List, Academic achievements
Professional N/A
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersShort
Sizes & Measurements
Neck (inches)16.5
Chest (inches)38
Inseam (inches)28
Waist (inches)29
Sleeve (inches)27
Wrist (inches)6.5
Hat size7
Shoe size8

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts20
Laser surgery?N/A
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use16-18
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
ShapeN/A
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 N/A
Chin:
Shape
  • RoundRound
  • OvalOval
  • SquareSquare
Prominence
  • Slight
  • Average
  • Strong
Cleft
  • NoneNone
  • SlightSlight
  • StrongStrong
  • MediumMedium
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
  • Brown
  • Fair
  • Md-Lt
  • Med_Dark
  • Medd
  • Mediu
  • Medium
  • Medlight
  • Olive
  • Tan
  • Light
  • MedL
  • Med-Light
  • 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
OccupationMOTEL OWNER, CHEF
Donor's Father Education:
LevelHigh school
DegreeN/A
SubjectN/A
Donor's Father Religion:
Faith None
Denomination N/A
Primary ethnic origins:CHINESE
Donor's Father Languages:
SpeakENGLISH, CHINESE
ReadENGLISH, CHINESE
WriteENGLISH, CHINESE
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Father Physical Information
Body
Age58
Height5'9
Weight170
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs
Hair:
Original hair color Black
If gray, age turned gray45
TypeCurly
Skin:
Skin ToneMed-Light
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service
Donor's Mother Personal Information
Occupation ENGINEER
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectN/A
Donor's Mother Religion:
Faith None
Denomination N/A
Primary ethnic origins:CHINESE
Donor's Mother Languages:
SpeakENGLISH, CHINESE
ReadENGLISH, CHINESE
WriteENGLISH, CHINESE
Donor's Mother Talents:
VoiceTenor
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Mother Physical Information
Body
Age52
Height5'4
Weight135
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs
Hair:
Original hair color Black
If gray, age turned gray42
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service
Father's Siblings
Father's Brothers
# of Brothers3
Ages of Brothers:56, 52, 44
Education levels for each:HIGH SCHOOL
Occupations for each:FACTORY WORKERS
Religions for each:NONE
Father's Brothers' Total Children:
# Boys3
# Girls0
Father's Sisters
# of Sisters2
Ages of Sisters:54, 52
Education levels for each:HIGH SCHOOL
Occupations for each:FACTORY WORKER
Religions for each:NONE
Father's Sisters' Total Children:
# Boys1
# Girls1
Mother's Siblings
Mother's Sisters
# Sisters2
Ages of Sisters:53, 47
Education levels for each:UNKNOWN
Occupations for each:UNKNOWN
Religions for each:NONE
Mother's Sisters' Total Children:
# Boys2
# Girls2
Father's Parents
Father's Father
Education
LevelN/A
DegreeN/A
SubjectN/A
Occupation:TAILOR
Primary ethnic origins:CHINESE
Siblings:
# Brothers
# Sisters
Other:
LanguagesCHINESE
ReligionNONE
Military
BranchN/A
RankN/A
Service Yrs
Father's Mother
Education
LevelN/A
DegreeN/A
SubjectN/A
Occupation:HOMEMAKER
Primary ethnic origins:CHINESE
Siblings:
# Brothers
# Sisters
Other:
LanguagesCHINESE
ReligionN/A
Military
BranchN/A
RankN/A
Service Yrs
Mother's Parents
Mother's Father
Education
LevelCOLLEGE
DegreeBACHELOR
SubjectPOLITICS
Occupation:N/A
Primary ethnic origins:CHINESE
Siblings:
# Brothers3
# Sisters0
Other:
LanguagesCHINESE
ReligionNONE
Military
BranchN/A
RankN/A
Service Yrs
Mother's Mother
Education
LevelN/A
DegreeN/A
SubjectN/A
Occupation:PHARMACIST
Primary ethnic origins:CHINESE
Siblings:
# Brothers
# Sisters
Other:
LanguagesCHINESE
ReligionCHRISTIAN
Military
BranchN/A
RankN/A
Service Yrs