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:		None
Other talents:
Years of experience		None
Favorite:
ColorBlue
FoodThai cuisine
MusicDisco, R & B
AnimalDog, Cat
PetDog
CarLexus
MovieTitanic
Song"Believe" by Mariah Carey & Whitney Houston
PlayCats
Goals:
AcademicFinish my academic career
Professional Doctorate
PersonalOwn a business
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakSpanish, Portuguese, English
ReadSpanish, English
WriteSpanish, English
Sports:
PlaySoccer
WatchSoccer
Siblings:
# Brothers2
# Sisters2
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		N/A
GRE
on scale of		N/A
MCAT
on scale of		29
LSAT
on scale of		N/A
GMAT
on scale of		N/A
TOEFL
on scale of		N/A
Other
on scale of		Pre-University Test: 90/100
High School
Question Response on scale of
GPA
on scale of 		3.74.0
College
Question Response on scale of
GPA
on scale of 		3.54.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.8 4.0
Subjects Studied:
Major subjectsPodiatry, Molecular Biology
Minor subjectsChemistry
Degrees
Bachelor'sBS/Molecular Biology
Master'sN/A
DoctorateDoctor of Podiatric Medicine
Other(s)N/A
Awards & Activities
High schoolAcademic scholarships
CollegeAcademic scholarships
AcademicDean's List, academic scholarships
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

HandsRight-Handed
FingersShort
Sizes & Measurements
Neck (inches)16
Chest (inches)40
Inseam (inches)30
Waist (inches)32
Sleeve (inches)32
Wrist (inches)7
Hat size7
Shoe size9

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts20
Laser surgery?No
Dental:
DeviceRetainer
ReasonCosmetic
Age range during use19
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
OccupationBusiness Owner
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Judeo-Christian
Primary ethnic origins:Ecuadorian
Donor's Father Languages:
SpeakSpanish, English
ReadSpanish, English
WriteSpanish
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age68
Height5'6"
Weight160 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		50
Hair:
Original hair color Black
If gray, age turned gray55
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryYes
BranchEcuadorian Army
RankSergeant
Years of service2
Donor's Mother Personal Information
Occupation Homemaker
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Ecuadorian, Spanish
Donor's Mother Languages:
SpeakEnglish, Spanish
ReadSpanish
WriteSpanish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age61
Height5'5"
Weight135 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		50
Hair:
Original hair color Black
If gray, age turned gray55
TypeCurly
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftMedium
Ear lobeDetached
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
Age37
Height5'6"
Weight160 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Homemaker
Education:
LevelSome college
DegreeOther
SubjectMedical Assistant
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, Spanish
ReadEnglish,Spanish
WriteEnglish, Spanish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1 - 4
# Girls
Ages:		2 - 16, 7
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesSlight
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexMale
Age35
Height5'9"
Weight165 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Postal Service
Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceBaritone
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		1 - 17
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Black
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 Sibling #3
Full/Half siblingHalf
Sibling #3 Physical Information
Body
SexMale
Age13
Height5'6"
Weight135 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation Student
Education:
LevelHigh school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, Spanish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		None
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 Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #4
Full/Half siblingHalf
Sibling #4 Physical Information
Body
SexFemale
Age12
Height5'3"
Weight120 lbs.
HandsRight-Handed
Sibling #4 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, Spanish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #4 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #4 Facial Features
Eyes:
Eye colorBrown
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Black
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 Brothers1
Ages of Brothers:59
Education levels for each:High school
Occupations for each:Driver
Religions for each:Christian
Father's Brothers' Total Children:
# Boys2
# Girls1
Father's Sisters
# of Sisters3
Ages of Sisters:68, 62, 60
Education levels for each:High school, Technical school, Technical school
Occupations for each:Homemaker, Hairstylist, Secretary
Religions for each:Christian
Father's Sisters' Total Children:
# Boys3
# Girls2
Mother's Siblings
Mother's Brothers
# Brothers5
Ages of Brothers:66, 58, 57, 56, 52
Education levels for each:High school
Occupations for each:All are clerks
Religions for each:Christian
Mother's Brothers' Total Children:
# Boys8
# Girls2
Mother's Sisters
# Sisters2
Ages of Sisters:65, 59
Education levels for each:High school, Some college
Occupations for each:Homemaker, Secretary
Religions for each:Christian
Mother's Sisters' Total Children:
# Boys3
# Girls4
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Business Owner
Primary ethnic origins:Ecuadorian
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesSpanish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Ecuadorian
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesSpanish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Warehouse Employee
Primary ethnic origins:Ecuadorian
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesSpanish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Ecuadorian, Spanish
Siblings:
# Brothers1
# Sisters2
Other:
LanguagesSpanish
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0