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:		Japanese fruit - 1
Tell us about your interests/talents and how long you have been pursuing. Provide several.Baseball, Swimming, Japanese Flute
Favorite:
ColorBlue
FoodVegetables
MusicEllie Goulding
AnimalCats
PetCats
CarNissan
MovieYour Name
SongLove Me Like You Do
Goals:
AcademicPublication of many great journals
Professional Become a successful pharmaceutical researcher
PersonalMaking a great contribution to society and people
Religion:
Faith Other
Denomination Shinto
Languages:
SpeakJapanese, English
Sports:
PlayBaseball
WatchBaseball, Football, Basketball
Siblings:
Are you or any of your siblings twins?
Please specify who and if they are fraternal or identical		No

Academics

Standard Test Score: provide score or denote N/A if not taken
SAT
on scale of		N/A - N/A
ACT
on scale of		N/A - N/A
GRE
on scale of		N/A - N/A
MCAT
on scale of		N/A - N/A
LSAT
on scale of		N/A - N/A
GMAT
on scale of		N/A - N/A
TOEFL
on scale of		N/A - N/A
Other
on scale of		N/A - N/A
High School
Question Response on scale of
GPA
on scale of 		3.254.0
College
Question Response on scale of
GPA
on scale of 		2.7254.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.334.0
Subjects Studied:
Major subjectsPharmaceutical Sciences
Minor subjectsGenetics
Degrees
Bachelor'sPharmaceutical Sciences
Master'sPharmaceutical Sciences
DoctoratePharmaceutical Sciences
Other(s)N/A
Awards & Activities
High schoolRugby
CollegeA cappella, international exchange
AcademicBiochemical experiments
Professional Pharmaceutical research
Political N/A
Personal N/A
Charitable N/A
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14
Chest (inches)38
Inseam (inches)35
Waist (inches)30
Sleeve (inches)32
Hat size7 ΒΌ
Shoe size10

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle - -6.5/-6.5
AstigmatismNo
Age started wearing glasses/contacts13
Laser surgery?No
Dental:
DeviceBraces
ReasonCosmetic
Age range during use11-17
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
Cheekbones:
Set
  • Low
  • Average
  • High
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
GapNo
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
  • Close
  • Average
  • Far
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
More about skin tones
  • Ivory
  • Porcelain
  • Pale ivory
  • Warm ivory
  • Sand
  • Rose beige
  • Limestone
  • Beige
  • Sienna
  • Honey
  • Band
  • Almond
  • Chestnut
  • Bronze
  • Umber
  • Golden
  • Espresso
  • Chocolate
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
Color
  • Auburn
  • Black
  • Blond
  • Brown
  • Grey
  • Red
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationSystem engineer
Donor's Father Education:
LevelCollege
DegreeBachelor
SubjectTechnology
Donor's Father Religion:
Faith Other
Denomination Shinto
Donor's Father Languages:
SpeakJapanese
Donor's Father Talents:
VoiceBaritone
InstrumentGuitar
OtherN/A
Donor's Father Physical Information
Body
Age62
Height5'6"
Weight132 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Corrective LensesNo
Hair:
Original hair color Black
TypeStraight
Skin:
Skin Tone
More about skin tones		Porcelain
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesDeep
Donor's Mother Personal Information
Occupation Aluminum Designer
Donor's Mother Education:
LevelCollege
DegreeBachelor
SubjectComputer
Donor's Mother Religion:
Faith Other
Denomination Shinto
Donor's Mother Languages:
SpeakJapanese
Donor's Mother Talents:
VoiceSoprano
InstrumentPiano, Flute
OtherN/A
Donor's Mother Physical Information
Body
Age55
Height5'3"
Weight110 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeDark
Corrective LensesYes
Hair:
Original hair color Black
TypeStraight
Skin:
Skin Tone
More about skin tones		Ivory
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesDeep
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
Age35
Height5'5"
Weight119 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Librarian
Education:
LevelCollege
DegreeBachelor
SubjectHistory
Languages:
SpeakJapanese
Talents:
VoiceAlto
InstrumentPiano
OtherN/A
Sibling #1 Children:
# Boys
Ages:		1 - 0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Corrective LensesYes
Hair:
Original hair color Black
TypeStraight
Skin:
Skin tone
More about skin tones		Porcelain
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesDeep
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
Age27
Height5'5"
Weight110 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Helper
Education:
LevelCollege
DegreeBachelor
SubjectNursing
Languages:
SpeakJapanese
Talents:
VoiceAlto
InstrumentPiano
OtherN/A
Sibling #2 Children:
# Boys
Ages:		1 - 0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeDark
Corrective LensesNo
Hair:
Original hair color Black
TypeStraight
Skin:
Skin tone
More about skin tones		Ivory
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesDeep
Father's Siblings
Father's Sisters
# of Sisters1
Ages of Sisters:52
Education levels for each:College
Occupations for each:Accountant
Father's Sisters' Total Children:
# Boys2
# Girls1
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:52
Education levels for each:College
Occupations for each:Elementary School Teacher
Mother's Brothers' Total Children:
# BoysN/A
# Girls1
Mother's Sisters
# Sisters1
Ages of Sisters:57
Education levels for each:College
Occupations for each:Childcare Professional
Mother's Sisters' Total Children:
# BoysN/A
# Girls1
Father's Parents
Father's Father
Education
LevelSome High school
DegreeNot Completed
Occupation:Train driver
Siblings:
# Brothers6
# Sisters6
Other:
LanguagesJapanese
ReligionOther
Father's Mother
Education
LevelSome High school
DegreeNot Completed
Occupation:Grocery store staff
Siblings:
# Brothers0
# Sisters2
Other:
LanguagesJapanese
ReligionOther
Mother's Parents
Mother's Father
Education
LevelSome High school
DegreeNot Completed
Occupation:Farming
Siblings:
# Brothers1
# Sisters0
Other:
LanguagesJapanese
ReligionOther
Mother's Mother
Education
LevelSome High school
DegreeNot Completed
Occupation:Farming
Siblings:
# Brothers2
# Sisters1
Other:
LanguagesJapanese
ReligionOther