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:Tenor
Instrument:
Years of experience:		Violin, Guitar, Cello - 5, 3, 1
Other talents:
Years of experience		None
Favorite:
ColorOrange
FoodPho
MusicEverything from Classical to Metal
AnimalTurtle
PetDog or Cat
CarSaab or Volvo
MovieAmerican Beauty
Song"Darkness Gives Way"
PlayThe Tragedy of Hamlet, Prince of Denmark
Goals:
AcademicTo earn a Master's degree
Professional To have financial security
PersonalTo excel at playing the violin, and in school
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Sports:
PlayBasketball
WatchSoccer
Siblings:
# Brothers1
# Sisters1
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		N/A
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		College placement test, score unknown
High School
Question Response on scale of
GPA
on scale of 		3.54.0
College
Question Response on scale of
GPA
on scale of 		3.294.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsMathematics
Minor subjectsSociology, Psychology, Philosophy
Degrees
Bachelor'sPursuing BA/Mathematics
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolN/A
CollegeN/A
AcademicTutoring Math
Professional N/A
Political N/A
Personal Music
Charitable Volunteer work with a wheelchair basketball organization
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)35
Inseam (inches)30
Waist (inches)30
Sleeve (inches)30
Wrist (inches)7
Hat size7
Shoe size10

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts12
Laser surgery?No
Dental:
DeviceRetainer
ReasonCosmetic
Age range during use11-12
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
OccupationBusiness Manager
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectBusiness
Donor's Father Religion:
Faith Other
Denomination Baha'i
Primary ethnic origins:Persian, English
Donor's Father Languages:
SpeakEnglish, Farsi, Spanish, some German, some French, some Mandarin
ReadEnglish
WriteEnglish
Donor's Father Talents:
VoiceTenor
Instrument
yrs experience		Trumpet - 6
Other
yrs experience		None
Donor's Father Physical Information
Body
Age50
Height6'0"
Weight220 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		15
Hair:
Original hair color Brown
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 Nurse
Donor's Mother Education:
LevelCollege
DegreeMaster
SubjectNursing
Donor's Mother Religion:
Faith None
Denomination Atheist
Primary ethnic origins:Belgian
Donor's Mother Languages:
SpeakDutch, English, German, French, American Sign Language
ReadDutch, English, German, French
WriteDutch, English, German, French
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age47
Height5'5"
Weight142 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorHazel
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Blond
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftMedium
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
Age20
Height6'0"
Weight170 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Religion:
Faith None
Denomination Atheist
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceTenor
Instrument
Years of experience		None
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBlue
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts18
Hair:
Original hair color Red
If gray, age turned grayN/A
TypeCurly
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftMedium
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
Age18
Height5'3"
Weight109 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakEnglish
ReadEnglish
WriteEnglish
Talents:
VoiceSoprano
Instrument
Years of experience		Piano - 3
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorGreen
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts12
Hair:
Original hair color Red
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Brothers
# of Brothers2
Ages of Brothers:48, 42
Education levels for each:Bachelor's, High School
Occupations for each:Entrepreneur, Artist
Religions for each:Baha'i, Baha'i
Father's Brothers' Total Children:
# Boys0
# Girls3
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:45
Education levels for each:Bachelor's
Occupations for each:Engineer
Religions for each:Christian
Mother's Brothers' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelGraduate
DegreeMaster's
SubjectEngineering, Architecture
Occupation:Architect
Primary ethnic origins:English
Siblings:
# Brothers3
# Sisters1
Other:
LanguagesEnglish
ReligionBaha'i
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelGraduate
DegreeMaster's
SubjectNurse/Midwife
Occupation:Nurse/Midwife
Primary ethnic origins:Persian
Siblings:
# Brothers1
# Sisters1
Other:
LanguagesEnglish, Farsi, Arabic
ReligionBaha'i
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGraduate
DegreeMaster's
SubjectBusiness Administration
Occupation:Professor
Primary ethnic origins:Belgian
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesDutch, French, German, English
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelCollege
DegreeBachelor's
SubjectBusiness
Occupation:Human Resources
Primary ethnic origins:Belgian
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesDutch, French, German, English
ReligionAtheist
Military
BranchN/A
RankN/A
Service Yrs0