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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:		None
Other talents:
Years of experience		Bartending - 3
Favorite:
ColorWhite, Black, Yellow
FoodVietnamese food, Desserts
MusicPop, Hip hop
AnimalLion, Tiger, Bear
PetDog, Fish, Hamster
CarLamborghini, Ferrari
Movie"Pursuit of Happyness"
Song"And I Love Her" by the Beatles
Play"Romeo and Juliet"
Goals:
AcademicTo continue a lifetime of learning
Professional Become an Engineer or Scientist
PersonalExpand my social circle
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Vietnamese
ReadEnglish, Vietnamese
WriteEnglish, Vietnamese
Sports:
PlayBadminton, Swimming, Soccer
WatchSoccer, Football, Basketball
Siblings:
# Brothers1
# Sisters0
Are you a twin?
Identical or fraternal?		No
# of twins in your family1
# Identical sets1
# 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		540
Other
on scale of		N/A
High School
Question Response on scale of
GPA
on scale of 		7.810.0
College
Question Response on scale of
GPA
on scale of 		3.204.0
Graduate School
Question Response on scale of
GPA
on scale of 		N/AN/A
Subjects Studied:
Major subjectsEngineering and Materials Science
Minor subjectsComputer Science
Degrees
Bachelor'sBS/Materials Science and Engineering
Master'sN/A
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolChoir, English Club
CollegeLeadership Program, Vietnamese Student Association
AcademicDean's List
Professional None
Political None
Personal None
Charitable American Cancer Society
OthersNone

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)37
Inseam (inches)30
Waist (inches)30
Sleeve (inches)31
Wrist (inches)6
Hat size7
Shoe size9

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts12
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
OccupationBusiness owner
Donor's Father Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Vietnamese
Donor's Father Languages:
SpeakVietnamese, Some English
ReadVietnamese, Some English
WriteVietnamese, Some English
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age61
Height5'3"
Weight125 lbs
HandsLeft-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		52
Hair:
Original hair color Brown
If gray, age turned gray40
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftMedium
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryYes
BranchArmy
RankSecond Lieutenant
Years of service8
Donor's Mother Personal Information
Occupation Tailor
Donor's Mother Education:
LevelHigh school
DegreeDiploma
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Vietnamese
Donor's Mother Languages:
SpeakVietnamese, Some English
ReadVietnamese, Some English
WriteVietnamese, Some English
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age52
Height5'2"
Weight138 lbs
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		40
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftMedium
Ear lobeDetached
Facial DimplesMedium
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
Age22
Height5'5"
Weight127 lbs
HandsRight-Handed
Sibling #1 Personal Information
Occupation Student
Education:
LevelCollege
DegreeBachelor
SubjectBiomedical Engineering, Statistics, Math
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Vietnamese
ReadEnglish, Vietnamese
WriteEnglish, Vietnamese
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 colorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts13
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftMedium
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:56, 46, 44, 38
Education levels for each:Bachelor's, High School, High School, High School
Occupations for each:Accountant, Driver, Shoe maker, Unemployed
Religions for each:Catholic, Catholic, Catholic, Catholic
Father's Brothers' Total Children:
# Boys0
# Girls2
Father's Sisters
# of Sisters3
Ages of Sisters:50, 43, 40
Education levels for each:High School, High School, High School
Occupations for each:Trader, Homemaker, Trader
Religions for each:Catholic, Catholic, Catholic
Father's Sisters' Total Children:
# Boys6
# Girls3
Mother's Siblings
Mother's Brothers
# Brothers4
Ages of Brothers:58, 46, 36, 36
Education levels for each:Bachelor's, Bachelor's, Bachelor's, Bachelor's
Occupations for each:Engineer, Lab technician, Technician, Technician
Religions for each:Catholic, Catholic, Catholic, Catholic
Mother's Brothers' Total Children:
# Boys1
# Girls1
Mother's Sisters
# Sisters5
Ages of Sisters:43, 41, 38, 31, 2 (deceased)
Education levels for each:High School, Bachelor's, Bachelor's, Bachelor's, None
Occupations for each:Tailor, Tailor, Tailor, Tailor, None
Religions for each:Catholic, Catholic, Catholic, Catholic, None
Mother's Sisters' Total Children:
# Boys0
# Girls1
Father's Parents
Father's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Military, Custodian
Primary ethnic origins:Vietnamese
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesVietnamese
ReligionCatholic
Military
BranchArmy
RankSergeant
Service Yrs8
Father's Mother
Education
LevelMiddle School
DegreeNone
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Vietnamese
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesVietnamese
ReligionCatholic
Military
BranchNo
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelHigh School
DegreeDiploma
SubjectGeneral Studies
Occupation:Trader
Primary ethnic origins:Vietnamese
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesVietnamese
ReligionCatholic
Military
BranchNo
RankN/A
Service Yrs0
Mother's Mother
Education
LevelMiddle School
DegreeNone
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Vietnamese
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesVietnamese
ReligionCatholic
Military
BranchNo
RankN/A
Service Yrs0