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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:Baritone
Instrument:
Years of experience:		Guitar - 4
Other talents:
Years of experience		Cooking - 12
Favorite:
ColorGreen
FoodSalmon
MusicRock
AnimalElephant
PetNone
CarNissan
MovieWho's Afraid of Virginia Woolf
Song"Yoshev al hagader" by Arik Einstein
PlayHamlet
Goals:
AcademicLearn Spanish, Python, and some obscure statistical techniques
Professional Make a discovery that will help to reduce obesity
PersonalBring happiness to my family
Religion:
Faith Jewish
Denomination N/A
Languages:
SpeakEnglish, Russian, Hebrew
ReadEnglish, Russian, Hebrew
WriteEnglish, Russian, Hebrew
Sports:
PlaySoccer, Volleyball, Tennis
WatchNone
Siblings:
# Brothers0
# Sisters2
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		1300, 5 - out of 1800, 6
MCAT
on scale of		N/A
LSAT
on scale of		N/A
GMAT
on scale of		N/A
TOEFL
on scale of		280 - out of 300
Other
on scale of		N/A
High School
Question Response on scale of
GPA
on scale of 		4.35.0
College
Question Response on scale of
GPA
on scale of 		3.54.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.694.0
Subjects Studied:
Major subjectsEconomics, Mathematics
Minor subjectsN/A
Degrees
Bachelor'sBA/Mathematics
Master'sMA/Economics
DoctoratePhD/Economics
Other(s)N/A
Awards & Activities
High schoolDebate team, School theater
CollegeUndergraduate economics award
AcademicSecond place in undergraduate competition in economics
Professional Excellence award for publishing high impact research articles
Political N/A
Personal Hiking, Reading, Hebrew study, Cooking
Charitable N/A
OthersN/A

Military

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

Physical Features

HandsLeft-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)38
Inseam (inches)31
Waist (inches)30
Sleeve (inches)30
Wrist (inches)7
Hat size7
Shoe size9

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
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
OccupationEngineer
Donor's Father Education:
LevelCollege
DegreeMaster
SubjectMarine Engineering
Donor's Father Religion:
Faith Jewish
Denomination N/A
Primary ethnic origins:Russian Jewish
Donor's Father Languages:
SpeakRussian, English
ReadRussian, English
WriteRussian, English
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		Handyman, Business, Cooking - 40, 24, 16
Donor's Father Physical Information
Body
Age57
Height5'9"
Weight190 lbs.
HandsLeft-Handed
Donor's Father Facial Features
Eyes:
Eye ColorHazel
Eye shadeDark
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		10
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Nutritionist
Donor's Mother Education:
LevelGraduate school
DegreeMaster
SubjectMedicine, Nutrition
Donor's Mother Religion:
Faith Jewish
Denomination N/A
Primary ethnic origins:Russian Jewish, German
Donor's Mother Languages:
SpeakEnglish, Russian
ReadEnglish, Russian, French
WriteEnglish, Russian
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		Piano - 15
Other
yrs experience		Painting - 6
Donor's Mother Physical Information
Body
Age56
Height5'5"
Weight140 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorGreen
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		47
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin ToneMedL
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
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
SexFemale
Age24
Height5'5"
Weight145 lbs.
HandsLeft-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelGraduate school
DegreePursuing
SubjectClinical Psychology
Religion:
Faith Jewish
Denomination N/A
Languages:
SpeakEnglish, Russian, French
ReadEnglish, Russian, French
WriteEnglish, Russian, French
Talents:
VoiceAlto
Instrument
Years of experience		Piano - 4
Other
Years of experience		Poetry - 5
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorHazel
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeWavy
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Donor's Sibling #2
Full/Half siblingHalf - (Paternal)
Sibling #2 Physical Information
Body
SexFemale
Age13
Height5'1"
Weight100 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelGrade school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Other
Denomination Agnostic
Languages:
SpeakRussian, English
ReadRussian, English
WriteRussian, English
Talents:
VoiceAlto
Instrument
Years of experience		Solfege - 4
Other
Years of experience		Painting - 4
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorHazel
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Sisters
# of Sisters1
Ages of Sisters:69
Education levels for each:Master's
Occupations for each:Radiologist
Religions for each:Jewish
Father's Sisters' Total Children:
# Boys2
# Girls0
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:60
Education levels for each:Bachelor's
Occupations for each:Business Manager
Religions for each:Agnostic
Mother's Brothers' Total Children:
# Boys1
# Girls0
Mother's Sisters
# Sisters1
Ages of Sisters:51
Education levels for each:Bachelor's
Occupations for each:Teacher
Religions for each:None
Mother's Sisters' Total Children:
# BoysN/A
# Girls1
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectEngineering
Occupation:Mechanical Engineer
Primary ethnic origins:Russian Jewish
Siblings:
# Brothers5
# Sisters6
Other:
LanguagesYiddish, Russian, German
ReligionJewish
Military
BranchArmy
RankLieutenant
Service Yrs3
Father's Mother
Education
LevelCollege
DegreeBachelor's
SubjectCivil Engineering
Occupation:Civil Engineer
Primary ethnic origins:Russian Jewish
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesYiddish, Russian, German
ReligionJewish
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGraduate
DegreePhD
SubjectBiology
Occupation:Scientist
Primary ethnic origins:Russian Jewish
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesRussian, English
ReligionJewish
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelGraduate
DegreePhD
SubjectMedicine
Occupation:Scientist
Primary ethnic origins:Russian, German
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesRussian, German
ReligionAgnostic
Military
BranchN/A
RankN/A
Service Yrs0