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:Tenor
Instrument:
Years of experience:		Tenor Saxophone - 5
Other talents:
Years of experience		Computer Programming - 6
Favorite:
ColorBlue
FoodSpaghetti
MusicClassic Rock
AnimalPenguin
PetDog
CarDodge Challenger
MovieChildren of Men
Song"Sympathy for the Devil"
PlayGrease
Goals:
AcademicTo go to graduate school to complete my PhD and MD
Professional To partake in scientific research
PersonalTo stay physically fit
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish, Tamil
ReadEnglish
WriteEnglish
Sports:
PlaySoccer, Football, Basketball
WatchFootball, Basketball, Hockey
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		2190 - out of 2400
ACT
on scale of		33 - out of 36
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 		3.965.0
College
Question Response on scale of
GPA
on scale of 		4.04.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/A
Subjects Studied:
Major subjectsBiochemistry
Minor subjectsPhysics, History
Degrees
Bachelor'sPursuing BS/Biochemistry
Master'sN/A
DoctorateN/A
Other(s)High school
Awards & Activities
High schoolNational Honor Society, Graduated with Honors, Track and Field, Soccer
CollegeDean's List
AcademicRegional Computer Science award winner
Professional N/A
Political N/A
Personal Learning advanced programming
Charitable Habitat for Humanity
OthersTravel

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)36
Inseam (inches)32
Waist (inches)30
Sleeve (inches)33
Wrist (inches)6
Hat size7
Shoe size9.5

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts10
Laser surgery?No
Dental:
DeviceBraces and Retainer
ReasonCosmetic
Age range during use13-15
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
Occupation Engineer
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectEngineering
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Sri Lankan
Donor's Father Languages:
SpeakEnglish, Tamil, Hindi
ReadEnglish, Tamil, Hindi
WriteEnglish, Tamil, Hindi
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age57
Height5'10"
Weight135 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Vision Near-Sighted
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		24
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 Mother Personal Information
Occupation Accountant
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectAccounting
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Sri Lankan
Donor's Mother Languages:
SpeakEnglish, Tamil, Hindi
ReadEnglish, Tamil
WriteEnglish, Tamil
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age50
Height5'8"
Weight185 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		45
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeCurly
Skin:
Skin ToneMedDk
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 Sisters
# of Sisters2
Ages of Sisters:62, 59
Education levels for each:Doctorate, Doctorate
Occupations for each:Physican, Engineer
Religions for each:Hindu, Hindu
Father's Sisters' Total Children:
# Boys2
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:61, 60, 58
Education levels for each:Bachelor's, Master's, Doctorate
Occupations for each:Military Mechanic (retired), Intelligence Analyst, Professor
Religions for each:Catholic, Catholic, Catholic
Mother's Brothers' Total Children:
# Boys0
# Girls4
Mother's Sisters
# Sisters3
Ages of Sisters:57, 53, 45
Education levels for each:Bachelors, Bachelor's, High school
Occupations for each:Teacher, Bank Teller, Bank Teller
Religions for each:Catholic, Catholic, Catholic
Mother's Sisters' Total Children:
# Boys3
# Girls2
Father's Parents
Father's Father
Education
LevelGraduate school
DegreeMedical degree
SubjectMedicine
Occupation:Physician
Primary ethnic origins:Sri Lankan
Siblings:
# Brothers2
# Sisters2
Other:
LanguagesTamil, Hindi
ReligionHindu
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelHigh school
DegreeNot completed
SubjectGeneral Studies
Occupation:Housekeeper
Primary ethnic origins:Sri Lankan
Siblings:
# Brothers2
# Sisters0
Other:
LanguagesTamil, Hindi
ReligionHindu
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGraduate school
DegreeMaster's
SubjectBusiness
Occupation:Business Owner
Primary ethnic origins:Sri Lankan
Siblings:
# Brothers4
# Sisters2
Other:
LanguagesTamil, Hindi
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelHigh school
DegreeNot completed
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Sri Lankan
Siblings:
# Brothers5
# Sisters4
Other:
LanguagesTamil, Hindi
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0