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Questions

Academics
Military
Physical Features
Physical Aids
Facial Features
Family Information
Donor's Parents
Father's Siblings
Mother's Siblings
Father's Parents
Mother's Parents

Personal Information

Talents:
Voice:Bass
Instrument:
Years of experience:		Guitar - 6
Other talents:
Years of experience		Breakdancing - 1
Favorite:
ColorBlue
FoodSteak
MusicOld Rock
AnimalLion
PetYorkshire Terrier
CarMustang
MovieDark Knight
Song"Snow" by Red Hot Chili Peppers
PlayNone
Goals:
AcademicGet into medical school
Professional Become a successful ophthalmologist
PersonalTo have a family someday
Religion:
Faith Islam
Denomination Muslim
Languages:
SpeakEnglish, Farsi, some Spanish
ReadEnglish, Farsi, some Spanish
WriteEnglish, Farsi, some Spanish
Sports:
PlayFootball, Basketball
WatchFootball, Basketball
Siblings:
# Brothers0
# Sisters0
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		1890 (out of 2400)
ACT
on scale of		31
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 		6.3346.5
College
Question Response on scale of
GPA
on scale of 		3.334
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsBiology
Minor subjectsN/A
Degrees
Bachelor'sPursuing BS/Biology
Master'sNone
DoctorateNone
Other(s)High School
Awards & Activities
High schoolNational Honor Society, High School Beauty Pageant winner, Academic All-District, Honor Roll
CollegeNone
AcademicAP Scholar with Honors
Professional Ophthalmology internship
Political N/A
Personal Summer camp
Charitable Volunteer at a hospital
OthersNone

Military

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

Physical Features

HandsRight-Handed
FingersLong
Sizes & Measurements
Neck (inches)16.5
Chest (inches)40
Inseam (inches)32
Waist (inches)33
Sleeve (inches)30
Wrist (inches)9
Hat size7.14
Shoe size12

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts15
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListN/A
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
SubjectEngineering
Donor's Father Religion:
Faith Islam
Denomination Muslim
Primary ethnic origins:Iranian
Donor's Father Languages:
SpeakFarsi, English
ReadFarsi, English
WriteFarsi, English
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age49
Height5'11"
Weight165 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		20
Hair:
Original hair color Black
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 Mother Personal Information
Occupation Realtor
Donor's Mother Education:
LevelSome college
DegreeNot Completed
SubjectBusiness
Donor's Mother Religion:
Faith Islam
Denomination Muslim
Primary ethnic origins:Iranian
Donor's Mother Languages:
SpeakFarsi, English
ReadFarsi, English
WriteFarsi, English
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age47
Height5'2"
Weight145 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		45
Hair:
Original hair color Brown
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 Brothers4
Ages of Brothers:59, 57, 52, 47
Education levels for each:Some High School, High School, High School, High School
Occupations for each:Business Owner, Business Owner, Business Owner, Business Owner
Religions for each:Islam, Islam, Islam, Islam
Father's Brothers' Total Children:
# Boys6
# Girls2
Father's Sisters
# of Sisters2
Ages of Sisters:53, 46
Education levels for each:High School, High School
Occupations for each:Homemaker, Homemaker
Religions for each:Islam, Islam
Father's Sisters' Total Children:
# Boys3
# Girls3
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:42
Education levels for each:High School
Occupations for each:Business Owner
Religions for each:Islam
Mother's Brothers' Total Children:
# Boys1
# Girls0
Mother's Sisters
# Sisters3
Ages of Sisters:44, 38, 24
Education levels for each:High School, High School, (Pursuing) Bachelor's
Occupations for each:Homemaker, Homemaker, Student
Religions for each:Islam, Islam, Islam
Mother's Sisters' Total Children:
# Boys2
# Girls0
Father's Parents
Father's Father
Education
LevelGrade School
DegreeNone
SubjectGeneral Studies
Occupation:Business Owner
Primary ethnic origins:Iranian
Siblings:
# Brothers2
# Sisters0
Other:
LanguagesFarsi
ReligionIslam
Military
BranchNone
RankN/A
Service Yrs0
Father's Mother
Education
LevelGrade School
DegreeNone
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Iranian
Siblings:
# Brothers0
# Sisters3
Other:
LanguagesFarsi
ReligionIslam
Military
BranchNone
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Real Estate
Primary ethnic origins:Iranian
Siblings:
# Brothers2
# Sisters0
Other:
LanguagesFarsi
ReligionIslam
Military
BranchNone
RankN/A
Service Yrs0
Mother's Mother
Education
LevelGrade School
DegreeNone
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Iranian
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesFarsi
ReligionIslam
Military
BranchNone
RankN/A
Service Yrs0