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:		Tar, Kamancheh, Tonbak - 6, 6, 5
Other talents:
Years of experience		None
Favorite:
ColorGreen
FoodKebab
MusicJazz
AnimalBird
PetBird
CarPT Cruiser
Movie"Sabrina"
Song"Walk the Line"
Play"Fiddler on the Roof"
Goals:
AcademicTo earn an MBA
Professional To have my own business
PersonalBe able to travel more often
Religion:
Faith Other
Denomination Zoroastrianism
Languages:
SpeakFarsi, English
ReadFarsi, English
WriteFarsi, English
Sports:
PlaySoccer
WatchSoccer
Siblings:
# Brothers3
# 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		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 		3.934.0
College
Question Response on scale of
GPA
on scale of 		3.774.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsInformation Technology, Industrial Engineering
Minor subjectsN/A
Degrees
Bachelor'sBS/Industrial Engineering
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolN/A
CollegeN/A
AcademicN/A
Professional N/A
Political N/A
Personal Soccer
Charitable N/A
OthersPlay several musical instruments

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)42
Inseam (inches)30
Waist (inches)34
Sleeve (inches)34
Wrist (inches)7
Hat size7
Shoe size11

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
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
OccupationTeacher (Retired)
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectHistory
Donor's Father Religion:
Faith Islam
Denomination N/A
Primary ethnic origins:Iranian
Donor's Father Languages:
SpeakFarsi
ReadFarsi
WriteFarsi
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age70
Height5'11"
Weight180 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Black
If gray, age turned gray50
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Teacher (Retired)
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectHistory
Donor's Mother Religion:
Faith Islam
Denomination N/A
Primary ethnic origins:Iranian
Donor's Mother Languages:
SpeakFarsi
ReadFarsi
WriteFarsi
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age65
Height5'9"
Weight150 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Black
If gray, age turned gray55
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 Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age40
Height6'1"
Weight190 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Civil Engineer
Education:
LevelCollege
DegreeBachelor
SubjectCivil Engineering
Religion:
Faith Islam
Denomination N/A
Languages:
SpeakFarsi
ReadFarsi
WriteFarsi
Talents:
VoiceTenor
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		1 - 5
# Girls
Ages:		0
Sibling #1 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 toneMedDk
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
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
Height6'4"
Weight180 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Psychiatrist
Education:
LevelGraduate school
DegreeDoctorate
SubjectAddiction
Religion:
Faith Islam
Denomination N/A
Languages:
SpeakFarsi, English, French
ReadFarsi, English, French
WriteFarsi, English, French
Talents:
VoiceTenor
Instrument
Years of experience		Piano - 20
Other
Years of experience		Tonbak - 20
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		1 - 4
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
TypeStraight
Skin:
Skin toneMed
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 siblingFull
Sibling #3 Physical Information
Body
SexMale
Age30
Height5'11"
Weight185 lbs.
HandsRight-Handed
Sibling #3 Personal Information
Occupation IT Specialist
Education:
LevelCollege
DegreeBachelor
SubjectInformation Technology
Religion:
Faith Islam
Denomination N/A
Languages:
SpeakFarsi, English
ReadFarsi, English
WriteFarsi, English
Talents:
VoiceTenor
Instrument
Years of experience		Piano - 15
Other
Years of experience		None
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorHazel
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 toneMed
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 siblingFull
Sibling #4 Physical Information
Body
SexFemale
Age23
Height5'9"
Weight160 lbs.
HandsRight-Handed
Sibling #4 Personal Information
Occupation Student
Education:
LevelGraduate school
DegreePursuing
SubjectGenetics
Religion:
Faith Islam
Denomination N/A
Languages:
SpeakFarsi, English
ReadFarsi, English
WriteFarsi, English
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 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
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:78, 75
Education levels for each:Bachelor's, Bachelor's
Occupations for each:Businessman, Automotive restoration
Religions for each:Islam, Islam
Father's Brothers' Total Children:
# Boys4
# Girls3
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:75, 70
Education levels for each:High School, High School
Occupations for each:Teacher (Retired), Teacher (Retired)
Religions for each:Islam, Islam
Mother's Brothers' Total Children:
# Boys4
# Girls2
Mother's Sisters
# Sisters2
Ages of Sisters:59, 56
Education levels for each:High School, High School
Occupations for each:Teacher (Retired), Teacher (Retired)
Religions for each:Islam, Atheist
Mother's Sisters' Total Children:
# Boys4
# Girls3
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Businessman
Primary ethnic origins:Iranian
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesFarsi
ReligionIslam
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Teacher
Primary ethnic origins:Iranian
Siblings:
# Brothers3
# Sisters1
Other:
LanguagesFarsi
ReligionIslam
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Teacher
Primary ethnic origins:Iranian
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesFarsi
ReligionIslam
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Teacher
Primary ethnic origins:Iranian
Siblings:
# Brothers4
# Sisters0
Other:
LanguagesFarsi
ReligionIslam
Military
BranchN/A
RankN/A
Service Yrs0