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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:Baritone
Instrument:
Years of experience:		Drums - 2
Other talents:
Years of experience		Piano - 1
Favorite:
ColorPurple
FoodLasagna
MusicAlternative Rock
AnimalWolf, Tiger
PetDog
CarNissan GT-R
MovieThe Departed
Song"Us and Them" by Pink Floyd
PlayHamlet
Goals:
AcademicEarn a Master's degree in Occupational Therapy
Professional Become one of the top occupational therapists in the country
PersonalVisit as many countries as possible
Religion:
Faith Other
Denomination Buddhist
Languages:
SpeakPortuguese, English, Spanish
ReadPortuguese, English, Spanish
WritePortuguese, English, Spanish
Sports:
PlayFootball, Basketball, Soccer, Lacrosse, Handball, Volleyball
WatchFootball, Basketball, Soccer.
Siblings:
# Brothers1
# Sisters1
Are you a twin?
Identical or fraternal?		Yes - Fraternal
# of twins in your family1
# Identical sets0
# Fraternal sets1

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		155 Quantitative, 153 Verbal, 4.0 Analytical Writing
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 		3.04.0
College
Question Response on scale of
GPA
on scale of 		3.624.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsPsychology
Minor subjectsBiology
Degrees
Bachelor'sBA/Psychology
Master'sStarting Occupational Therapy program next semester
DoctorateN/A
Other(s)AS/General Studies
Awards & Activities
High schoolPerfect Attendance, one year
CollegeDean's List, four times
AcademicN/A
Professional Employee of the Year award
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
FingersMedium
Sizes & Measurements
Neck (inches)16
Chest (inches)37
Inseam (inches)37
Waist (inches)34
Sleeve (inches)33
Wrist (inches)7
Hat size7
Shoe size12

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts18
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
OccupationTelevision Editor
Donor's Father Education:
LevelSome college
DegreeNot Completed
SubjectEconomics
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Angolan, Brazilian, Spanish, Portuguese
Donor's Father Languages:
SpeakEnglish, Portuguese
ReadEnglish, Portuguese
WriteEnglish, Portuguese
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age51
Height5'11"
Weight180 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Black
If gray, age turned gray40
TypeCurly
Skin:
Skin ToneMedDk
Skin ConditionMedium
Other:
Chin cleftMedium
Ear lobeDetached
Facial DimplesMedium
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Government management
Donor's Mother Education:
LevelSome college
DegreeNot Completed
SubjectAccounting
Donor's Mother Religion:
Faith Other
Denomination Spiritualist
Primary ethnic origins:Brazilian, Portuguese, Dutch, Italian
Donor's Mother Languages:
SpeakItalian, Portuguese, English
ReadItalian, Portuguese, English
WriteItalian, Portuguese, English
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Guitar, Bass - 35, 15
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age50
Height5'3"
Weight170 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftNone
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
SexMale
Age30
Height5'9"
Weight165 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Personal Trainer
Education:
LevelCollege
DegreeBachelor
SubjectKinesiology
Religion:
Faith None
Denomination Atheist
Languages:
SpeakEnglish, Portuguese, Spanish
ReadEnglish, Portuguese, Spanish
WriteEnglish, Portuguese, Spanish
Talents:
VoiceBaritone
Instrument
Years of experience		Guitar - 5
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
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 #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age0 - (Donor's twin)
Height5'3"
Weight130 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Lab Assistant
Education:
LevelCollege
DegreeBachelor
SubjectPsychology
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Portuguese, French
ReadEnglish, Portuguese, French
WriteEnglish, Portuguese, French
Talents:
VoiceAlto
Instrument
Years of experience		Violin - 3
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
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
TypeCurly
Skin:
Skin toneMed
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 Brothers1
Ages of Brothers:46
Education levels for each:High school
Occupations for each:Bus Driver
Religions for each:Christian
Father's Brothers' Total Children:
# Boys0
# Girls0
Mother's Siblings
Mother's Brothers
# Brothers2
Ages of Brothers:58, 51
Education levels for each:High school, High school
Occupations for each:Business owner, Business owner
Religions for each:Christian, Christian
Mother's Brothers' Total Children:
# Boys5
# Girls0
Mother's Sisters
# Sisters1
Ages of Sisters:56
Education levels for each:PhD
Occupations for each:Psychiatrist
Religions for each:Buddhist
Mother's Sisters' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Air Force Pilot (Retired)
Primary ethnic origins:Angolan, Portuguese
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesPortuguese
ReligionChristian
Military
BranchAir Force (Brazil)
RankMajor
Service Yrs25
Father's Mother
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Fashion Designer (Retired)
Primary ethnic origins:Angolan, Native Brazilian (Tupi), Spanish, Portuguese
Siblings:
# Brothers11
# Sisters12
Other:
LanguagesEnglish, Portuguese
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Occupation:Air Force
Primary ethnic origins:Italian
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesItalian
ReligionCatholic
Military
BranchAir Force (Brazil)
RankCaptain
Service Yrs23
Mother's Mother
Education
LevelCollege
DegreeBachelor's
SubjectPolitical Science
Occupation:Government Employee (Retired)
Primary ethnic origins:Native Brazilian (Guarani), Portuguese, Dutch
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesPortuguese, French
ReligionSpiritualist
Military
BranchN/A
RankN/A
Service Yrs0