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Questions
Personal Information
Talents:
Voice: | Tenor |
Instrument: Years of experience: | Guitar - 11 |
Other talents: Years of experience | Piano - 2 |
Favorite:
Color | Blue |
Food | Indian |
Music | Jazz, Classic Rock, Classical, Blues, and R&B |
Animal | Dog |
Pet | Dog |
Car | 1973 Ponitac Trans Am with 455 Super Duty Engine |
Movie | Godfather Parts 1 and 2 |
Song | Achilles Last Stand - Led Zeppelin |
Play | The Barber of Seville |
Goals:
Academic | To continue a lifetime of learning |
Professional | Become a successful executive |
Personal | Find the perfect person to settle down with |
Religion:
Faith | Other |
Denomination | Zoroastrian |
Languages:
Speak | English |
Read | English |
Write | English |
Sports:
Play | Jogging |
Watch | Baseball and Football |
Siblings:
# Brothers | 0 |
# Sisters | 2 |
Are you a twin? Identical or fraternal? | No |
# of twins in your family | 0 |
# Identical sets | 0 |
# Fraternal sets | 0 |
Academics
Standard Test Score: provide score or denote N/A if not taken
SAT on scale of | N/A |
ACT on scale of | 19 |
GRE on scale of | N/A |
MCAT on scale of | N/A |
LSAT on scale of | N/A |
GMAT on scale of | 570 |
TOEFL on scale of | N/A |
Other on scale of | N/A |
High School
Question | Response | on scale of |
GPA on scale of | 2.3 | 4.0 |
College
Question | Response | on scale of |
GPA on scale of | 3.06 | 4.0 |
Graduate School
Question | Response | on scale of |
GPA on scale of | 3.75 | 4.0 |
Subjects Studied:
Major subjects | Engineering (Bachelor's); Business Administration (Master's) |
Minor subjects | Mathematics |
Degrees
Bachelor's | BS/Engineering |
Master's | MBA/Business Administration |
Doctorate | N/A |
Other(s) | High School |
Awards & Activities
High school | None |
College | Honor Roll, Dean's List |
Academic | None |
Professional | None |
Political | None |
Personal | None |
Charitable | None |
Others | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Right-Handed |
Fingers | Medium |
Sizes & Measurements
Neck (inches) | 15 |
Chest (inches) | 40 |
Inseam (inches) | 30 |
Waist (inches) | 32 |
Sleeve (inches) | 30 |
Wrist (inches) | 6 |
Hat size | 7 |
Shoe size | 9 |
Physical Aids
Eyes:
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 8 |
Laser surgery? | No |
Dental:
Device | None |
Reason | N/A |
Age range during use | N/A |
Other Physical Aids:
List | None |
Reason/cause | N/A |
Facial Features
Eyes:
Set |
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Size |
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Shape |
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Color |
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Shade |
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Eyebrows:
Arch |
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Thickness |
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Set |
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Nose:
Size |
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Shape |
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Width |
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Length |
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Bridge |
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Nostril flare |
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Septum |
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Cheekbones:
Set |
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Prominence |
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Mouth:
Size |
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Lips |
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Turn |
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Teeth:
Size |
|
Set |
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Condition |
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Chin:
Shape |
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Prominence |
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Cleft |
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Ears:
Size |
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Set |
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Angle |
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Lobe size |
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Lobe attachment |
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Hair:
Color at birth |
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Natural color in adulthood |
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Shade |
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Type |
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Fullness |
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Texture |
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Skin:
Tone |
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Tan ability |
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Condition |
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Hairline:
Forehead |
|
Contour |
|
Other Facial Features:
Moles |
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Freckles |
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Dimples |
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Adam's apple |
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Facial Hair
Thickness |
|
Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
Occupation | Professor |
Donor's Father Education:
Level | Graduate school |
Degree | Doctorate |
Subject | Management |
Donor's Father Religion:
Faith | Other |
Denomination | Zoroastrian |
Primary ethnic origins: | Persian |
Donor's Father Languages:
Speak | English |
Read | English |
Write | English |
Donor's Father Talents:
Voice | Tenor |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 66 |
Height | 5'5" |
Weight | 150 lbs |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Dark |
Vision | Near-Sighted |
Glasses | Bifocal |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 10 |
Hair:
Original hair color | Black |
If gray, age turned gray | 50 |
Type | Straight |
Skin:
Skin Tone | MedL |
Skin Condition | Combination |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial Dimples | Slight |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Mother Personal Information
Occupation | Urologist |
Donor's Mother Education:
Level | Graduate school |
Degree | Doctorate |
Subject | Urology |
Donor's Mother Religion:
Faith | Other |
Denomination | Zoroastrian |
Primary ethnic origins: | Persian |
Donor's Mother Languages:
Speak | English |
Read | English |
Write | English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | Piano - 46 |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 56 |
Height | 5'2" |
Weight | 180 lbs |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Dark |
Vision | Near-Sighted |
Glasses | Bifocal |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 13 |
Hair:
Original hair color | Brown |
If gray, age turned gray | 50 |
Type | Wavy |
Skin:
Skin Tone | Med |
Skin Condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial Dimples | Slight |
Military
Served in Military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half sibling | Full |
Sibling #1 Physical Information
Body
Sex | Female |
Age | 22 |
Height | 5'2" |
Weight | 100 lbs |
Hands | Right-Handed |
Sibling #1 Personal Information
Occupation | Student |
Education:
Level | College |
Degree | Pursuing |
Subject | Biology |
Religion:
Faith | Other |
Denomination | Zoroastrian |
Languages:
Speak | English, Spanish |
Read | English, Spanish |
Write | English, Spanish |
Talents:
Voice | Alto |
Instrument Years of experience | Harp - 7 |
Other Years of experience | Piano - 12 |
Sibling #1 Children:
# Boys Ages: | None |
# Girls Ages: | None |
Sibling #1 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 14 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | Med |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial dimples | Slight |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Donor's Sibling #2
Full/Half sibling | Full |
Sibling #2 Physical Information
Body
Sex | Female |
Age | 20 |
Height | 5'4" |
Weight | 115 lbs |
Hands | Left-Handed |
Sibling #2 Personal Information
Occupation | Student |
Education:
Level | College |
Degree | Pursuing |
Subject | Pre-Medicine |
Religion:
Faith | Other |
Denomination | Zoroastrian |
Languages:
Speak | English |
Read | English |
Write | English |
Talents:
Voice | Alto |
Instrument Years of experience | Piano - 13 |
Other Years of experience | Flute - 3 |
Sibling #2 Children:
# Boys Ages: | None |
# Girls Ages: | None |
Sibling #2 Facial Features
Eyes:
Eye color | Brown |
Eye shade | Dark |
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 14 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin tone | Med |
Skin condition | Medium |
Other:
Chin cleft | Slight |
Ear lobe | Detached |
Facial dimples | Slight |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 2 |
Ages of Brothers: | 68, 63 |
Education levels for each: | MBA, MBA |
Occupations for each: | Engineer, Engineer |
Religions for each: | Zoroastrian, Zoroastrian |
Father's Brothers' Total Children:
# Boys | 0 |
# Girls | 5 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 59 |
Education levels for each: | Bachelor's |
Occupations for each: | Engineer |
Religions for each: | Zoroastrian |
Mother's Brothers' Total Children:
# Boys | 1 |
# Girls | 1 |
Mother's Sisters
# Sisters | 1 |
Ages of Sisters: | 61 |
Education levels for each: | Bachelor's |
Occupations for each: | Accountant |
Religions for each: | Zoroastrian |
Mother's Sisters' Total Children:
# Boys | 1 |
# Girls | 1 |
Father's Parents
Father's Father
Education
Level | College |
Degree | Bachelor's |
Subject | Engineering |
Occupation: | Engineer |
Primary ethnic origins: | Perisan |
Siblings:
# Brothers | 0 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Zoroastrian |
Military
Branch | No |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Persian |
Siblings:
# Brothers | 3 |
# Sisters | 4 |
Other:
Languages | English |
Religion | Zoroastrian |
Military
Branch | No |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | College |
Degree | Bachelor's |
Subject | Business Administration |
Occupation: | Accountant |
Primary ethnic origins: | Persian |
Siblings:
# Brothers | 1 |
# Sisters | 1 |
Other:
Languages | English |
Religion | Zoroastrian |
Military
Branch | No |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | College |
Degree | Bachelor's |
Subject | Education |
Occupation: | School Administrator |
Primary ethnic origins: | Persian |
Siblings:
# Brothers | 3 |
# Sisters | 4 |
Other:
Languages | English |
Religion | Zoroastrian |
Military
Branch | No |
Rank | N/A |
Service Yrs | 0 |