Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | N/A |
Other talents: Years of experience | N/A |
Favorite:
Color | Yellow |
Food | Shrimp |
Music | Classical |
Animal | Horse |
Pet | Dog |
Car | Ferrari |
Movie | American Beauty |
Song | Eye of the Tiger |
Play | King Lear |
Goals:
Academic | MD, maybe an MBA or MS in Computer Science |
Professional | Be a good physician |
Personal | Be content and without regret |
Religion:
Faith | None |
Denomination | None |
Languages:
Speak | English, Chinese, some Spanish |
Read | English, Chinese, some Spanish |
Write | English, Chinese, some Spanish |
Sports:
Play | Weightlifting, Tennis, Swimming |
Watch | Football, Tennis |
Siblings:
# Brothers | 0 |
# Sisters | 0 |
Are you a twin? Identical or fraternal? | N/A |
# of twins in your family | N/A |
# Identical sets | |
# Fraternal sets |
Academics
Standard Test Score: provide score or denote N/A if not taken
SAT on scale of | 1280 |
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 | 3.9 | 4 |
College
Question | Response | on scale of |
GPA on scale of | 3.7 | 4 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A |
Subjects Studied:
Major subjects | Medicine, Computer Science |
Minor subjects | N/A |
Degrees
Bachelor's | BA/Computer Science |
Master's | N/A |
Doctorate | Pursuing MD |
Other(s) | N/A |
Awards & Activities
High school | N/A |
College | Scholarships |
Academic | General Honors, Dean's List, Academic achievements |
Professional | N/A |
Political | N/A |
Personal | N/A |
Charitable | N/A |
Others | N/A |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service |
Physical Features
Hands | Right-Handed |
Fingers | Short |
Sizes & Measurements
Neck (inches) | 16.5 |
Chest (inches) | 38 |
Inseam (inches) | 28 |
Waist (inches) | 29 |
Sleeve (inches) | 27 |
Wrist (inches) | 6.5 |
Hat size | 7 |
Shoe size | 8 |
Physical Aids
Eyes:
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | Yes |
Age started wearing glasses/contacts | 20 |
Laser surgery? | N/A |
Dental:
Device | Braces and Retainer |
Reason | Cosmetic |
Age range during use | 16-18 |
Other Physical Aids:
List | N/A |
Reason/cause | N/A |
Facial Features
Eyes:
Set |
|
Size |
|
Shape |
|
Color |
|
Shade |
|
Eyebrows:
Arch |
|
Thickness |
|
Set |
|
Nose:
Size |
|
Shape | N/A |
Width |
|
Length |
|
Bridge |
|
Nostril flare |
|
Septum |
|
Cheekbones:
Set |
|
Prominence |
|
Mouth:
Size |
|
Lips |
|
Turn |
|
Teeth:
Size |
|
Set |
|
Condition | N/A |
Chin:
Shape |
|
Prominence |
|
Cleft |
|
Ears:
Size |
|
Set |
|
Angle |
|
Lobe size |
|
Lobe attachment |
|
Hair:
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 | MOTEL OWNER, CHEF |
Donor's Father Education:
Level | High school |
Degree | N/A |
Subject | N/A |
Donor's Father Religion:
Faith | None |
Denomination | N/A |
Primary ethnic origins: | CHINESE |
Donor's Father Languages:
Speak | ENGLISH, CHINESE |
Read | ENGLISH, CHINESE |
Write | ENGLISH, CHINESE |
Donor's Father Talents:
Voice | Tenor |
Instrument yrs experience | N/A |
Other yrs experience | N/A |
Donor's Father Physical Information
Body
Age | 58 |
Height | 5'9 |
Weight | 170 |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Dark |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs |
Hair:
Original hair color | Black |
If gray, age turned gray | 45 |
Type | Curly |
Skin:
Skin Tone | Med-Light |
Skin Condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Attached |
Facial Dimples | None |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service |
Donor's Mother Personal Information
Occupation | ENGINEER |
Donor's Mother Education:
Level | College |
Degree | Bachelor |
Subject | N/A |
Donor's Mother Religion:
Faith | None |
Denomination | N/A |
Primary ethnic origins: | CHINESE |
Donor's Mother Languages:
Speak | ENGLISH, CHINESE |
Read | ENGLISH, CHINESE |
Write | ENGLISH, CHINESE |
Donor's Mother Talents:
Voice | Tenor |
Instrument yrs experience | N/A |
Other yrs experience | N/A |
Donor's Mother Physical Information
Body
Age | 52 |
Height | 5'4 |
Weight | 135 |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Normal |
Glasses | None |
Astigmatism | No |
Age started wearing glasses/contacts yrs |
Hair:
Original hair color | Black |
If gray, age turned gray | 42 |
Type | Straight |
Skin:
Skin Tone | Light |
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 |
Father's Siblings
Father's Brothers
# of Brothers | 3 |
Ages of Brothers: | 56, 52, 44 |
Education levels for each: | HIGH SCHOOL |
Occupations for each: | FACTORY WORKERS |
Religions for each: | NONE |
Father's Brothers' Total Children:
# Boys | 3 |
# Girls | 0 |
Father's Sisters
# of Sisters | 2 |
Ages of Sisters: | 54, 52 |
Education levels for each: | HIGH SCHOOL |
Occupations for each: | FACTORY WORKER |
Religions for each: | NONE |
Father's Sisters' Total Children:
# Boys | 1 |
# Girls | 1 |
Mother's Siblings
Mother's Sisters
# Sisters | 2 |
Ages of Sisters: | 53, 47 |
Education levels for each: | UNKNOWN |
Occupations for each: | UNKNOWN |
Religions for each: | NONE |
Mother's Sisters' Total Children:
# Boys | 2 |
# Girls | 2 |
Father's Parents
Father's Father
Education
Level | N/A |
Degree | N/A |
Subject | N/A |
Occupation: | TAILOR |
Primary ethnic origins: | CHINESE |
Siblings:
# Brothers | |
# Sisters |
Other:
Languages | CHINESE |
Religion | NONE |
Military
Branch | N/A |
Rank | N/A |
Service Yrs |
Father's Mother
Education
Level | N/A |
Degree | N/A |
Subject | N/A |
Occupation: | HOMEMAKER |
Primary ethnic origins: | CHINESE |
Siblings:
# Brothers | |
# Sisters |
Other:
Languages | CHINESE |
Religion | N/A |
Military
Branch | N/A |
Rank | N/A |
Service Yrs |
Mother's Parents
Mother's Father
Education
Level | COLLEGE |
Degree | BACHELOR |
Subject | POLITICS |
Occupation: | N/A |
Primary ethnic origins: | CHINESE |
Siblings:
# Brothers | 3 |
# Sisters | 0 |
Other:
Languages | CHINESE |
Religion | NONE |
Military
Branch | N/A |
Rank | N/A |
Service Yrs |
Mother's Mother
Education
Level | N/A |
Degree | N/A |
Subject | N/A |
Occupation: | PHARMACIST |
Primary ethnic origins: | CHINESE |
Siblings:
# Brothers | |
# Sisters |
Other:
Languages | CHINESE |
Religion | CHRISTIAN |
Military
Branch | N/A |
Rank | N/A |
Service Yrs |