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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:		Guitar - 11
Other talents:
Years of experience		Piano - 2
Favorite:
ColorBlue
FoodIndian
MusicJazz, Classic Rock, Classical, Blues, and R&B
AnimalDog
PetDog
Car1973 Ponitac Trans Am with 455 Super Duty Engine
MovieGodfather Parts 1 and 2
SongAchilles Last Stand - Led Zeppelin
PlayThe Barber of Seville
Goals:
AcademicTo continue a lifetime of learning
Professional Become a successful executive
PersonalFind the perfect person to settle down with
Religion:
Faith Other
Denomination Zoroastrian
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayJogging
WatchBaseball and Football
Siblings:
# Brothers0
# 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		19
GRE
on scale of		N/A
MCAT
on scale of		N/A
LSAT
on scale of		N/A
GMAT
on scale of		570
TOEFL
on scale of		N/A
Other
on scale of		N/A
High School
Question Response on scale of
GPA
on scale of 		2.34.0
College
Question Response on scale of
GPA
on scale of 		3.064.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.754.0
Subjects Studied:
Major subjectsEngineering (Bachelor's); Business Administration (Master's)
Minor subjectsMathematics
Degrees
Bachelor'sBS/Engineering
Master'sMBA/Business Administration
DoctorateN/A
Other(s)High School
Awards & Activities
High schoolNone
CollegeHonor Roll, Dean's List
AcademicNone
Professional None
Political None
Personal None
Charitable None
OthersNone

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)40
Inseam (inches)30
Waist (inches)32
Sleeve (inches)30
Wrist (inches)6
Hat size7
Shoe size9

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts8
Laser surgery?No
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
OccupationProfessor
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectManagement
Donor's Father Religion:
Faith Other
Denomination Zoroastrian
Primary ethnic origins:Persian
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
Age66
Height5'5"
Weight150 lbs
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Black
If gray, age turned gray50
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionCombination
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Urologist
Donor's Mother Education:
LevelGraduate school
DegreeDoctorate
SubjectUrology
Donor's Mother Religion:
Faith Other
Denomination Zoroastrian
Primary ethnic origins:Persian
Donor's Mother Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano - 46
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age56
Height5'2"
Weight180 lbs
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		13
Hair:
Original hair color Brown
If gray, age turned gray50
TypeWavy
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftSlight
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
SexFemale
Age22
Height5'2"
Weight100 lbs
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectBiology
Religion:
Faith Other
Denomination Zoroastrian
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceAlto
Instrument
Years of experience		Harp - 7
Other
Years of experience		Piano - 12
Sibling #1 Children:
# Boys
Ages:		None
# Girls
Ages:		None
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts14
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMed
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
SexFemale
Age20
Height5'4"
Weight115 lbs
HandsLeft-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectPre-Medicine
Religion:
Faith Other
Denomination Zoroastrian
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceAlto
Instrument
Years of experience		Piano - 13
Other
Years of experience		Flute - 3
Sibling #2 Children:
# Boys
Ages:		None
# Girls
Ages:		None
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts14
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMed
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 Brothers
# of Brothers2
Ages of Brothers:68, 63
Education levels for each:MBA, MBA
Occupations for each:Engineer, Engineer
Religions for each:Zoroastrian, Zoroastrian
Father's Brothers' Total Children:
# Boys0
# Girls5
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:59
Education levels for each:Bachelor's
Occupations for each:Engineer
Religions for each:Zoroastrian
Mother's Brothers' Total Children:
# Boys1
# Girls1
Mother's Sisters
# Sisters1
Ages of Sisters:61
Education levels for each:Bachelor's
Occupations for each:Accountant
Religions for each:Zoroastrian
Mother's Sisters' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectEngineering
Occupation:Engineer
Primary ethnic origins:Perisan
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesEnglish
ReligionZoroastrian
Military
BranchNo
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Persian
Siblings:
# Brothers3
# Sisters4
Other:
LanguagesEnglish
ReligionZoroastrian
Military
BranchNo
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelCollege
DegreeBachelor's
SubjectBusiness Administration
Occupation:Accountant
Primary ethnic origins:Persian
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish
ReligionZoroastrian
Military
BranchNo
RankN/A
Service Yrs0
Mother's Mother
Education
LevelCollege
DegreeBachelor's
SubjectEducation
Occupation:School Administrator
Primary ethnic origins:Persian
Siblings:
# Brothers3
# Sisters4
Other:
LanguagesEnglish
ReligionZoroastrian
Military
BranchNo
RankN/A
Service Yrs0