Questions
Personal Information
Talents:
| Voice: | Bass |
| Instrument: Years of experience: | Piano, Cello - 7, 4 |
| Other talents: Years of experience | None - 4 |
Favorite:
| Color | Purple |
| Food | Eggplant |
| Music | Classical |
| Animal | Wolf |
| Pet | Freshwater fish, Turtles, Dog |
| Car | BMW |
| Movie | The Lion King |
| Song | "River Flows in You" by Yiruma |
| Play | None |
Goals:
| Academic | Attend and finish graduate school |
| Professional | Become a licensed physical therapist |
| Personal | Spread joy |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | English, Cantonese |
| Read | English, some Chinese |
| Write | English, some Chinese |
Sports:
| Play | Bowling, Cycling |
| Watch | N/A |
Siblings:
| # Brothers | 0 |
| # Sisters | 1 |
| Are you a twin? Identical or fraternal? | No |
| # of twins in your family | N/A |
| # Identical sets | 0 |
| # Fraternal sets | 0 |
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 | 3.33 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 2.69 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | N/A |
Subjects Studied:
| Major subjects | Anatomy |
| Minor subjects | N/A |
Degrees
| Bachelor's | BS/Kinesiology |
| Master's | N/A |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | Art contest winner, Yearbook committee, Ran a comic strip in the school newspaper |
| College | N/A |
| Academic | N/A |
| Professional | N/A |
| Political | N/A |
| Personal | N/A |
| Charitable | N/A |
| 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) | 15 |
| Chest (inches) | 43 |
| Inseam (inches) | 33 |
| Waist (inches) | 33 |
| Sleeve (inches) | 30 |
| Wrist (inches) | 6.5 |
| Hat size | 7 |
| Shoe size | 11 |
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
Eyes:
| Set |
|
| Size |
|
| Shape |
|
| Color |
|
| Shade |
|
Narrow
Average
Wide
Small
Average
Large
Almond
Oval
RoundEyebrows:
| Arch |
|
| Thickness |
|
| Set |
|
Thin
Average
ThickNose:
| Size |
|
| Shape |
|
| Width |
|
| Length |
|
| Bridge |
|
| Nostril flare |
|
| Septum |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
| Prominence |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Flat
Average
Acute
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
|
| Fullness |
|
| Texture |
|
Skin:
| Tone |
|
| Tan ability |
|
| Condition |
|
Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| Dimples |
|
| Adam's apple |
|
Facial Hair
| Thickness |
|
| Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Chauffeur (retired) |
Donor's Father Education:
| Level | High school |
| Degree | Not Completed |
| Subject | General Studies |
Donor's Father Religion:
| Faith | None |
| Denomination | N/A |
| Primary ethnic origins: | Chinese |
Donor's Father Languages:
| Speak | Chinese, English |
| Read | Chinese, English |
| Write | Chinese, English |
Donor's Father Talents:
| Voice | Bass |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 65 |
| Height | 5'5" |
| Weight | 140 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| 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 | 60 |
| Type | Straight |
Skin:
| Skin Tone | MedL |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| 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 | Daycare Provider |
Donor's Mother Education:
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
Donor's Mother Religion:
| Faith | None |
| Denomination | N/A |
| Primary ethnic origins: | Chinese |
Donor's Mother Languages:
| Speak | Chinese, English |
| Read | Chinese, English |
| Write | Chinese, English |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Mother Physical Information
Body
| Age | 50 |
| Height | 5'5" |
| Weight | 120 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| 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 | N/A |
| Type | Straight |
Skin:
| Skin Tone | MedL |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | Slight |
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 | Female |
| Age | 28 |
| Height | 5'4" |
| Weight | 110 lbs. |
| Hands | Ambidextrous |
Sibling #1 Personal Information
| Occupation | Program Assistant |
Education:
| Level | Graduate school |
| Degree | Master |
| Subject | Biochemistry, Business Management |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | Chinese, English, Spanish |
| Read | Chinese, English, Spanish |
| Write | Chinese, English, Spanish |
Talents:
| Voice | Soprano |
| Instrument Years of experience | Piano, Cello - 11, 6 |
| Other Years of experience | None |
Sibling #1 Children:
| # Boys Ages: | NA |
| # Girls Ages: | NA |
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 | Straight |
Skin:
| Skin tone | MedL |
| Skin condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | None |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Father's Siblings
Father's Brothers
| # of Brothers | 6 |
| Ages of Brothers: | 25 (deceased), 75 (deceased), 68, 63, 61, 59 |
| Education levels for each: | Unknown, High school (HS), HS, Some HS, Some HS, HS |
| Occupations for each: | Unknown, Business Owner, Business Owner, Baker, Business Owner, Self-employed (in IT) |
| Religions for each: | None (all) |
Father's Brothers' Total Children:
| # Boys | 5 |
| # Girls | 8 |
Father's Sisters
| # of Sisters | 2 |
| Ages of Sisters: | 70, 67 |
| Education levels for each: | Some college, Master's |
| Occupations for each: | Teacher (retired), Professor (retired) |
| Religions for each: | None, None |
Father's Sisters' Total Children:
| # Boys | 3 |
| # Girls | 3 |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 49, 48 |
| Education levels for each: | High school, High school |
| Occupations for each: | Mechanic, Business Owner |
| Religions for each: | None, None |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Mother's Sisters
| # Sisters | 1 |
| Ages of Sisters: | 55 |
| Education levels for each: | High school |
| Occupations for each: | Homemaker |
| Religions for each: | None |
Mother's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Father's Parents
Father's Father
Education
| Level | Unknown |
| Degree | Unknown |
| Subject | Unknown |
| Occupation: | Doctor |
| Primary ethnic origins: | Chinese |
Siblings:
| # Brothers | 2 |
| # Sisters | 2 |
Other:
| Languages | Chinese |
| Religion | None |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Father's Mother
Education
| Level | Unknown |
| Degree | Unknown |
| Subject | Unknown |
| Occupation: | Homemaker |
| Primary ethnic origins: | Chinese |
Siblings:
| # Brothers | 3 |
| # Sisters | 1 |
Other:
| Languages | Chinese |
| Religion | None |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
| Level | Some high school |
| Degree | Not completed |
| Subject | General Studies |
| Occupation: | Chef |
| Primary ethnic origins: | Chinese |
Siblings:
| # Brothers | 0 |
| # Sisters | 2 |
Other:
| Languages | Chinese |
| Religion | None |
Military
| Branch | Chinese military, branch unknown |
| Rank | Unknown |
| Service Yrs | 7 |
Mother's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Homemaker |
| Primary ethnic origins: | Chinese |
Siblings:
| # Brothers | 3 |
| # Sisters | 1 |
Other:
| Languages | Chinese |
| Religion | None |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |