Questions
Personal Information
Talents:
| Voice: | Bass |
| Instrument: Years of experience: | Piano - 2 |
| Other talents: Years of experience | Athletics - 15 |
Favorite:
| Color | Orange |
| Food | Thai, Japanese, Italian |
| Music | Alternative Rock/80's |
| Animal | Wolverine |
| Pet | Fish |
| Car | Lamborghini |
| Movie | "Step Brothers" |
| Song | "Shadow of the Day" |
| Play | "The Tragedy of Hamlet, Prince of Denmark" |
Goals:
| Academic | My goal has been reached |
| Professional | To be a business owner |
| Personal | To start a family some day |
Religion:
| Faith | None |
| Denomination | Atheist |
Languages:
| Speak | English, Vietnamese, French |
| Read | English |
| Write | English |
Sports:
| Play | Golf, Tennis, Basketball, Volleyball, Baseball, Football, Soccer |
| Watch | Golf, Tennis, Basketball, Volleyball, Baseball, Football, Soccer |
Siblings:
| # Brothers | 2 |
| # Sisters | 0 |
| Are you a twin? Identical or fraternal? | No |
| # of twins in your family | 0 |
| # Identical sets | 0 |
| # Fraternal sets | 0 |
Academics
Standard Test Score: provide score or denote N/A if not taken
| SAT on scale of | 1200 (out of 1600) |
| 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 | 3.0 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.81 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A | N/A |
Subjects Studied:
| Major subjects | Kinesiological Science |
| Minor subjects | N/A |
Degrees
| Bachelor's | BS/Kinesiological Science |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Tennis team |
| College | American Heart Association fund raisers |
| Academic | N/A |
| Professional | CPR/AED (automated external defibrillators) certifications |
| Political | N/A |
| Personal | Tennis intramurals |
| Charitable | Action Aid |
| Others | N/A |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | 0 |
Physical Features
| Hands | Right-Handed |
| Fingers | Medium |
Sizes & Measurements
| Neck (inches) | 14 |
| Chest (inches) | 37 |
| Inseam (inches) | 28 |
| Waist (inches) | 30 |
| Sleeve (inches) | 32 |
| Wrist (inches) | 7 |
| Hat size | 7 |
| Shoe size | 9 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 18 |
| Laser surgery? | No |
Dental:
| Device | Braces |
| Reason | Cosmetic |
| Age range during use | 14-17 |
Other Physical Aids:
| List | N/A |
| Reason/cause | N/A |
Facial Features
Eyes:
| Set |
|
| Size |
|
| Shape |
|
| Color |
|
| Shade |
|
Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
|
| Thickness |
|
| Set |
|
Thin
Average
ThickNose:
| Size |
|
| Shape |
|
| Width |
|
| Length |
|
| Bridge |
|
| Nostril flare |
|
| Septum |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
| Prominence |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
|
| Fullness |
|
| Texture |
|
Skin:
| Tone |
|
| Tan ability |
|
| Condition |
|
Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| Dimples |
|
| Adam's apple |
|
Facial Hair
| Thickness |
|
| Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Barber (Retired) |
Donor's Father Education:
| Level | Grade school |
| Degree | Not Completed |
| Subject | General Studies |
Donor's Father Religion:
| Faith | None |
| Denomination | Atheist |
| Primary ethnic origins: | Vietnamese |
Donor's Father Languages:
| Speak | Vietnamese, English |
| Read | Vietnamese, English |
| Write | Vietnamese |
Donor's Father Talents:
| Voice | Tenor |
| Instrument yrs experience | Guitar, Piano - 15, 10 |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 62 |
| Height | 5'6" |
| Weight | 150 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Vision | Far-Sighted |
| Glasses | Bifocal |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 21 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | 55 |
| Type | Wavy |
Skin:
| Skin Tone | Med |
| Skin Condition | Medium |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | 0 |
Donor's Mother Personal Information
| Occupation | Hair Stylist |
Donor's Mother Education:
| Level | Trade school |
| Degree | Other |
| Subject | Cosmetology |
Donor's Mother Religion:
| Faith | Other |
| Denomination | Buddhist |
| Primary ethnic origins: | Vietnamese |
Donor's Mother Languages:
| Speak | Vietnamese, English |
| Read | Vietnamese |
| Write | Vietnamese |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Mother Physical Information
Body
| Age | 56 |
| Height | 5'5" |
| Weight | 140 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 0 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin Tone | Med |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | 0 |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Sex | Male |
| Age | 32 |
| Height | 5'6" |
| Weight | 170 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Certified Public Accountant |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Accounting |
Religion:
| Faith | None |
| Denomination | Atheist |
Languages:
| Speak | English, Vietnamese |
| Read | English |
| Write | English |
Talents:
| Voice | Baritone |
| Instrument Years of experience | Trumpet - 2 |
| Other Years of experience | None |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Dark |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | Med |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | None |
Military
| Served in military | Yes |
| Branch | Marines |
| Rank | Sergeant |
| Years of service | 4 |
Donor's Sibling #2
| Full/Half sibling | Full |
Sibling #2 Physical Information
Body
| Sex | Male |
| Age | 28 |
| Height | 5'7" |
| Weight | 165 lbs. |
| Hands | Ambidextrous |
Sibling #2 Personal Information
| Occupation | Information Technology |
Education:
| Level | College |
| Degree | Bachelor |
| Subject | Biology |
Religion:
| Faith | None |
| Denomination | Atheist |
Languages:
| Speak | English, Vietnamese |
| Read | English |
| Write | English |
Talents:
| Voice | Tenor |
| Instrument Years of experience | Guitar, Piano - 15, 10 |
| Other Years of experience | None |
Sibling #2 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 18 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin tone | Med |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial dimples | None |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | 0 |
Father's Siblings
Father's Brothers
| # of Brothers | 2 |
| Ages of Brothers: | 54, 50 |
| Education levels for each: | High School, High School |
| Occupations for each: | Self-Employed, Self-Employed |
| Religions for each: | Buddhist, Buddhist |
Father's Brothers' Total Children:
| # Boys | 3 |
| # Girls | 1 |
Father's Sisters
| # of Sisters | 3 |
| Ages of Sisters: | 66, 60, 56 |
| Education levels for each: | High School, High School, High School |
| Occupations for each: | Warehouse staff (Retired), Self-Employed, Self-Employed |
| Religions for each: | Buddhist, Buddhist, Buddhist |
Father's Sisters' Total Children:
| # Boys | 3 |
| # Girls | 6 |
Mother's Siblings
Mother's Brothers
| # Brothers | 1 |
| Ages of Brothers: | 56 |
| Education levels for each: | High School |
| Occupations for each: | Barber (Retired) |
| Religions for each: | Buddhist |
Mother's Brothers' Total Children:
| # Boys | 0 |
| # Girls | 0 |
Mother's Sisters
| # Sisters | 4 |
| Ages of Sisters: | 66, 62, 58, 55 |
| Education levels for each: | High School, High School, High School, Bachelor's |
| Occupations for each: | Factory worker (Retired), Barber (Retired), Barber, Engineer |
| Religions for each: | Buddhist, Buddhist, Buddhist, Buddhist |
Mother's Sisters' Total Children:
| # Boys | 3 |
| # Girls | 6 |
Father's Parents
Father's Father
Education
| Level | High School |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Textile worker |
| Primary ethnic origins: | Vietnamese |
Siblings:
| # Brothers | 2 |
| # Sisters | 1 |
Other:
| Languages | Vietnamese, English |
| Religion | Buddhist |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Father's Mother
Education
| Level | High School |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | Vietnamese |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | Vietnamese, English |
| Religion | Buddhist |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
| Level | College |
| Degree | Associate's |
| Subject | Foreign Policy |
| Occupation: | Diplomat (Retired) |
| Primary ethnic origins: | Vietnamese |
Siblings:
| # Brothers | 1 |
| # Sisters | 2 |
Other:
| Languages | Vietnamese |
| Religion | Buddhist |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Mother
Education
| Level | High School |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | Vietnamese |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Vietnamese |
| Religion | Buddhist |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |