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:		Piano - 3
Other talents:
Years of experience		Guitar - 1
Favorite:
ColorRed
FoodItalian
MusicClassical/Opera
AnimalElephant
PetDog
CarTesla
MovieLord of the Rings
SongMy Way
PlayThe Phantom of the Opera
Goals:
AcademicMasters Degree
Professional CEO or business owner
PersonalImprove my Physical and Artistic Skills
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish, German
WriteEnglish, Spanish, German
Sports:
PlaySoccer
WatchBaseball
Siblings:
# Brothers0
# 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		N/A
High School
Question Response on scale of
GPA
on scale of 		96100
College
Question Response on scale of
GPA
on scale of 		91100
Graduate School
Question Response on scale of
GPA
on scale of 		3.84.0
Subjects Studied:
Major subjectsMechatronics Engineering
Minor subjectsElectrical Engineering
Degrees
Bachelor'sMechatronics Engineering
Master'sEngineering Management
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolHonors graduate, Leadership development
CollegeHonors graduate, Academic mentor helping others gain field experience
AcademicN/A
Professional Promoted to senior leadership role, Resource and mentor for minority employees
Political N/A
Personal Playing piano and guitar, Singing in musicals
Charitable N/A
OthersDancing, Soccer, Baseball

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)15
Chest (inches)39
Inseam (inches)34
Waist (inches)39
Sleeve (inches)32
Wrist (inches)7
Hat size7
Shoe size9.5

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Laser surgery?Yes
Dental:
DeviceBraces
ReasonCosmetic
Age range during use12-13
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:
LevelCollege
DegreeBachelor
SubjectDentistry
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Mexican, English
Donor's Father Languages:
SpeakSpanish, English
ReadSpanish, English
WriteSpanish, English
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Father Physical Information
Body
Age67
Height5'10''
Weight190
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		N/A
Hair:
Original hair color Brown
If gray, age turned gray40
TypeWavy
Skin:
Skin ToneLight
Skin ConditionCombination
Other:
Chin cleftMedium
Ear lobeDetached
Facial DimplesSlight
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Homemaker
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectDentistry
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Mexican
Donor's Mother Languages:
SpeakSpanish
ReadSpanish
WriteSpanish
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		N/A
Other
yrs experience		N/A
Donor's Mother Physical Information
Body
Age64
Height5'
Weight110
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesBifocal
AstigmatismNo
Age started wearing glasses/contacts
yrs		60 - 2
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneMedL
Skin ConditionCombination
Other:
Chin cleftSlight
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age35
Height5'
Weight180
HandsRight-Handed
Sibling #1 Personal Information
Occupation Lawyer
Education:
LevelGraduate school
DegreeMaster
SubjectFiscal Law
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakSpanish, English
ReadSpanish, English
WriteSpanish, English
Talents:
VoiceSoprano
Instrument
Years of experience		N/A
Other
Years of experience		N/A
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts18
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
Skin conditionCombination
Other:
Chin cleftMedium
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers4
Ages of Brothers:90, 82, 80, 59
Education levels for each:Some High School, Unknown, Unknown, Unknown
Occupations for each:Manger, Doctor, Architect, Veterinarian
Religions for each:Christian (all)
Father's Brothers' Total Children:
# Boys6
# Girls6
Father's Sisters
# of Sisters6
Ages of Sisters:81, 78, 64, 73, 69, 66
Education levels for each:Some High School (all)
Occupations for each:Business owner, Secretary, N/A, Translator, Teacher, N/A
Religions for each:Christian (all)
Father's Sisters' Total Children:
# Boys7
# Girls9
Mother's Siblings
Mother's Brothers
# Brothers3
Ages of Brothers:63, 61, 55
Education levels for each:Some High School (all)
Occupations for each:Business Owner, Business Owner, Politics
Religions for each:Christian (all)
Mother's Brothers' Total Children:
# Boys3
# Girls4
Mother's Sisters
# Sisters2
Ages of Sisters:60, 57
Education levels for each:Some High School, Unknown
Occupations for each:Business Owner, Unknown
Religions for each:Christian (all)
Mother's Sisters' Total Children:
# Boys2
# Girls1
Father's Parents
Father's Father
Education
LevelHigh School
DegreeN/A
SubjectN/A
Occupation:Farmer
Primary ethnic origins:English
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesSpanish, English
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A
Father's Mother
Education
LevelElementary School
DegreeN/A
SubjectN/A
Occupation:Homemaker
Primary ethnic origins:Mexican
Siblings:
# Brothers4
# Sisters2
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Parents
Mother's Father
Education
LevelElementary School
DegreeN/A
SubjectN/A
Occupation:Business Owner
Primary ethnic origins:Mexican
Siblings:
# Brothers2
# Sisters3
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A
Mother's Mother
Education
LevelElementary School
DegreeN/A
SubjectN/A
Occupation:Homemaker
Primary ethnic origins:Mexican
Siblings:
# Brothers1
# Sisters3
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service YrsN/A