Questions
Personal Information
Talents:
| Voice: | Tenor |
| Instrument: Years of experience: | Piano, Tuba, Trumpet - 20+, 10+, 4+ |
| Other talents: Years of experience | Swimming, Soccer, Basketball - 20+, 20+, 15 |
Favorite:
| Color | Blue |
| Food | West Indian |
| Music | Jazz, Classical |
| Animal | Dog |
| Pet | Dog |
| Car | BMW M5 |
| Movie | 300 |
| Song | True Love Waits |
| Play | Othello |
Goals:
| Academic | Become dean or chancellor of a medical school |
| Professional | Run for Senate |
| Personal | Stay fit, eat healthy and be kind |
Religion:
| Faith | Christian |
| Denomination | Episcopalian |
Languages:
| Speak | English, Spanish |
| Read | English, Spanish |
| Write | English, Spanish |
Sports:
| Play | Swimming, Soccer, Running |
| Watch | Basketball, Football, Soccer |
Siblings:
| # Brothers | 2 |
| # 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 | 1410 - out of 1600 |
| ACT on scale of | N/A |
| GRE on scale of | N/A |
| MCAT on scale of | 36 - out of 45 |
| 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 | 3.7 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.61 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | 3.31 | 4.0 |
Subjects Studied:
| Major subjects | Biology |
| Minor subjects | N/A |
Degrees
| Bachelor's | BS/Biology |
| Master's | N/A |
| Doctorate | MD/Medicine, PhD/Microbiology |
| Other(s) | N/A |
Awards & Activities
| High school | Student government, All-state band, Soccer team |
| College | Magna cum laude graduate |
| Academic | Full scholarship to medical school |
| Professional | MD, PhD, Currently in residency |
| Political | Possibly run for office later in life |
| Personal | Outgoing, Charming |
| Charitable | Community service with Goodwill |
| Others | N/A |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Right-Handed |
| Fingers | Long |
Sizes & Measurements
| Neck (inches) | 16 |
| Chest (inches) | 42 |
| Inseam (inches) | 36 |
| Waist (inches) | 34 |
| Sleeve (inches) | 35 |
| Wrist (inches) | 8 |
| Hat size | 7 |
| Shoe size | 12 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 14 |
| 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
Eyes:
| Set |
|
| Size |
|
| Shape |
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| Color |
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| Shade |
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Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
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| Thickness |
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| Set |
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Thin
Average
ThickNose:
| Size |
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| Shape |
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| Width |
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| Length |
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| Bridge |
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| Nostril flare |
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| Septum |
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Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
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| Prominence |
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Mouth:
| Size |
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| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
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| Set |
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| Condition |
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Average
Large
SmallChin:
| Shape |
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| Prominence |
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| Cleft |
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Round
Oval
Square
None
Slight
StrongEars:
| Size |
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| Set |
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| Angle |
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| Lobe size |
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| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
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| Shade |
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| Type |
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| Fullness |
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| Texture |
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Skin:
| Tone |
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| Tan ability |
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| Condition |
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Hairline:
| Forehead |
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| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
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| Dimples |
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| Adam's apple |
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Facial Hair
| Thickness |
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| Shade |
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Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Professor |
Donor's Father Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | Engineering |
Donor's Father Religion:
| Faith | Christian |
| Denomination | Episcopalian |
| Primary ethnic origins: | West Indian, English, Portuguese |
Donor's Father Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Father Talents:
| Voice | Tenor |
| Instrument yrs experience | Piano - 50+ |
| Other yrs experience | Table tennis, Tennis - 30+ |
Donor's Father Physical Information
Body
| Age | 60 - (deceased) |
| Height | 6’4” |
| Weight | 210 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 18 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Curly |
Skin:
| Skin Tone | Med |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Mother Personal Information
| Occupation | Accountant |
Donor's Mother Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Economics |
Donor's Mother Religion:
| Faith | Christian |
| Denomination | Episcopalian |
| Primary ethnic origins: | West Indian , English, Swedish |
Donor's Mother Languages:
| Speak | English |
| Read | English |
| Write | English |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Mother Physical Information
Body
| Age | 59 - (deceased) |
| Height | 5’8” |
| Weight | 135 lbs. |
| Hands | Right-Handed |
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 | Black |
| If gray, age turned gray | 45 |
| Type | Wavy |
Skin:
| Skin Tone | Light |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| Facial Dimples | None |
Military
| Served in Military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Full |
Sibling #1 Physical Information
Body
| Sex | Male |
| Age | 40 |
| Height | 6’5” |
| Weight | 210 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Investment Banking |
Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Business Administration |
Religion:
| Faith | Christian |
| Denomination | Catholic |
Languages:
| Speak | English, Spanish |
| Read | English, Spanish |
| Write | English, Spanish |
Talents:
| Voice | Tenor |
| Instrument Years of experience | Piano, Guitar - 25, 25 |
| Other Years of experience | None |
Sibling #1 Children:
| # Boys Ages: | 1 - 2 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Medium |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Curly |
Skin:
| Skin tone | Med |
| Skin condition | Combination |
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 Sibling #2
| Full/Half sibling | Full |
Sibling #2 Physical Information
Body
| Sex | Male |
| Age | 39 |
| Height | 6’3” |
| Weight | 220 lbs. |
| Hands | Right-Handed |
Sibling #2 Personal Information
| Occupation | Analyst |
Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Business Administration |
Religion:
| Faith | Christian |
| Denomination | Episcopalian |
Languages:
| Speak | English |
| Read | English |
| Write | English |
Talents:
| Voice | Baritone |
| Instrument Years of experience | Piano - 25 |
| Other Years of experience | None |
Sibling #2 Children:
| # Boys Ages: | 1 - 2 |
| # Girls Ages: | 0 |
Sibling #2 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Light |
| Vision | Normal |
| Glasses | None |
| Astigmatism | No |
| Age started wearing glasses/contacts | N/A |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Wavy |
Skin:
| Skin tone | MedL |
| Skin condition | Combination |
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 |
Father's Siblings
Father's Brothers
| # of Brothers | 2 |
| Ages of Brothers: | 55 (deceased), 63 |
| Education levels for each: | Master's, Bachelor's |
| Occupations for each: | Military, Building Supervisor |
| Religions for each: | Episcopalian, Episcopalian |
Father's Brothers' Total Children:
| # Boys | 1 |
| # Girls | N/A |
Father's Sisters
| # of Sisters | 2 |
| Ages of Sisters: | 70, 61 |
| Education levels for each: | Bachelor's, Master's |
| Occupations for each: | Secretary (retired), Nutritionist |
| Religions for each: | Anglican, Episcopalian |
Father's Sisters' Total Children:
| # Boys | N/A |
| # Girls | 2 |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 65, 63 |
| Education levels for each: | Master's, Graduate |
| Occupations for each: | Entrepreneur, Physician |
| Religions for each: | Non-denominational, Lutheran |
Mother's Brothers' Total Children:
| # Boys | 3 |
| # Girls | 3 |
Mother's Sisters
| # Sisters | 2 |
| Ages of Sisters: | 70, 62 |
| Education levels for each: | Master's, Master's |
| Occupations for each: | Community Organizer, Account Manager |
| Religions for each: | Rastafarian, Episcopalian |
Mother's Sisters' Total Children:
| # Boys | 2 |
| # Girls | N/A |
Father's Parents
Father's Father
Education
| Level | Technical school |
| Degree | Technical degree |
| Subject | Law Enforcement |
| Occupation: | Police Officer |
| Primary ethnic origins: | West Indian, Portuguese |
Siblings:
| # Brothers | 2 |
| # Sisters | 2 |
Other:
| Languages | English |
| Religion | Anglican |
Military
| Branch | Army |
| Rank | Lieutenant |
| Service Yrs | 8 |
Father's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Seamstress |
| Primary ethnic origins: | West Indian, English |
Siblings:
| # Brothers | 1 |
| # Sisters | 1 |
Other:
| Languages | English |
| Religion | Anglican |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
| Level | Graduate |
| Degree | PHD |
| Subject | Education |
| Occupation: | Professor |
| Primary ethnic origins: | West Indian, Swedish |
Siblings:
| # Brothers | 3 |
| # Sisters | 3 |
Other:
| Languages | English |
| Religion | Lutheran |
Military
| Branch | Army |
| Rank | Lieutenant |
| Service Yrs | 5 |
Mother's Mother
Education
| Level | Graduate |
| Degree | Master's |
| Subject | Education |
| Occupation: | Teacher |
| Primary ethnic origins: | West Indian, English |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | English |
| Religion | Lutheran |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | 0 |