Questions
Personal Information
Talents:
| Voice: | Baritone |
| Instrument: Years of experience: | Piano - 30 |
| Other talents: Years of experience | Gymnastics, Handstands, Bodyweight Strength Training - 15, 15, 15 |
Favorite:
| Color | Dark blue |
| Food | Ramen |
| Music | Classical, Electronic |
| Animal | Tiger |
| Pet | Cat |
| Car | My trusty 1999 Toyota Corolla with 200k miles |
| Movie | Seven Samurai |
| Song | Ode To Joy |
| Play | A Midsummer Night's Dream |
Goals:
| Academic | None. At the moment I'm satisfied with the MPH degree |
| Professional | To continue contributing to medical publications, To get into medical writing, To expand my piano teaching |
| Personal | To perform Beethoven's Diabelli Variations, To hold a one-arm handstand for 10 seconds, To travel to every continent |
Religion:
| Faith | None |
| Denomination | Atheist |
Languages:
| Speak | English, Spanish |
| Read | English, Spanish |
| Write | English, Spanish |
Sports:
| Play | Jiu-Jitsu, Football, Track and field, Weightlifting |
| Watch | Football, Soccer, Strongman, Gymnastics, Weightlifting |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
| 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 | 1320 - out of 1600 |
| ACT on scale of | N/A |
| GRE on scale of | 164 - out of 170 |
| 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 | GRE Psychology - 770 - out of 800 |
High School
| Question | Response | on scale of |
| GPA on scale of | 3.60 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.6 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | 3.80 | 4.0 |
Subjects Studied:
| Major subjects | Psychology (Bachelor's), Public Health (Master's) |
| Minor subjects | English Literature |
Degrees
| Bachelor's | BA/Psychology |
| Master's | MPH/Public Health |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Band, Set Crew, Track, Wrestling |
| College | Jazz Band, Badminton |
| Academic | Dean's list |
| Professional | Credited on 20+ medical research publications |
| Political | N/A |
| Personal | Teaching piano lessons, Cooking, Traveling, Camping |
| Charitable | Volunteer at SPCA and PAWS (animal care), frequent donations |
| Others | None |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Ambidextrous |
| Fingers | Long |
Sizes & Measurements
| Neck (inches) | 15.5 |
| Chest (inches) | 40 |
| Inseam (inches) | 30 |
| Waist (inches) | 32.5 |
| Sleeve (inches) | 32 |
| Wrist (inches) | 7 |
| Hat size | 7.5 |
| Shoe size | 10 |
Physical Aids
Eyes:
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
| 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
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Chin:
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Ears:
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Hair:
| Color at birth |
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Skin:
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Hairline:
| Forehead |
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Other Facial Features:
| Moles |
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Facial Hair
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Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Musician |
Donor's Father Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Archeology |
Donor's Father Religion:
| Faith | None |
| Denomination | Atheist |
| Primary ethnic origins: | German |
Donor's Father Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Father Talents:
| Voice | Tenor |
| Instrument yrs experience | Bassoon, Recorder, French Horn - 40, 40, 60 |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 72 |
| Height | 6'0" |
| Weight | 160 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Hazel |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | N/A |
Hair:
| Original hair color | Brown |
| If gray, age turned gray | N/A |
| Type | Straight |
Skin:
| Skin Tone | MedL |
| Skin Condition | Dry |
Other:
| Chin cleft | Slight |
| Ear lobe | Detached |
| Facial Dimples | Slight |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Mother Personal Information
| Occupation | Accountant, Treasurer |
Donor's Mother Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Latin |
Donor's Mother Religion:
| Faith | None |
| Denomination | Agnostic |
| Primary ethnic origins: | Italian, Irish |
Donor's Mother Languages:
| Speak | English, Latin, Italian |
| Read | English, Latin, Italian |
| Write | English, Latin, Italian |
Donor's Mother Talents:
| Voice | Soprano |
| Instrument yrs experience | None |
| Other yrs experience | Very skilled seamstress - 50 |
Donor's Mother Physical Information
Body
| Age | 67 |
| Height | 5'6" |
| Weight | 130 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Light |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 45 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | 50 |
| Type | Wavy |
Skin:
| Skin Tone | Med |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | Medium |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 74 |
| Education levels for each: | Bachelor's |
| Occupations for each: | Nurse |
| Religions for each: | Lutheran |
Father's Brothers' Total Children:
| # Boys | N/A |
| # Girls | N/A |
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 76 |
| Education levels for each: | High school |
| Occupations for each: | Business Administrator |
| Religions for each: | Lutheran |
Father's Sisters' Total Children:
| # Boys | N/A |
| # Girls | 2 |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 69 (deceased), 67 |
| Education levels for each: | High school, Master's |
| Occupations for each: | Roofer, Legal Librarian |
| Religions for each: | Catholic, Atheist |
Mother's Brothers' Total Children:
| # Boys | 2 |
| # Girls | 2 |
Mother's Sisters
| # Sisters | 1 |
| Ages of Sisters: | 70 (deceased) |
| Education levels for each: | High school |
| Occupations for each: | Business Administrator |
| Religions for each: | Catholic |
Mother's Sisters' Total Children:
| # Boys | N/A |
| # Girls | N/A |
Father's Parents
Father's Father
Education
| Level | College |
| Degree | Bachelor's |
| Subject | Engineering |
| Occupation: | Engineer |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 2 |
| # Sisters | 2 |
Other:
| Languages | English, German |
| Religion | Lutheran |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Father's Mother
Education
| Level | High School |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | German |
Siblings:
| # Brothers | 1 |
| # Sisters | 3 |
Other:
| Languages | English, German |
| Religion | Lutheran |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
| Level | High School |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Auto Mechanic |
| Primary ethnic origins: | Italian |
Siblings:
| # Brothers | 2 |
| # Sisters | 0 |
Other:
| Languages | English, Italian |
| Religion | Catholic |
Military
| Branch | Army |
| Rank | Sergeant |
| Service Yrs | 4 |
Mother's Mother
Education
| Level | High School |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Secretary |
| Primary ethnic origins: | Irish |
Siblings:
| # Brothers | 2 |
| # Sisters | 0 |
Other:
| Languages | English, Irish |
| Religion | Catholic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |

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