Questions
Personal Information
Talents:
| Voice: | Bass |
| Instrument: Years of experience: | Saxophone - 9 |
| Other talents: Years of experience | Swimming - 9 |
Favorite:
| Color | Orange |
| Food | Anything spicy and savory! |
| Music | R&B and anything that's easy listening |
| Animal | Panda |
| Pet | Cat |
| Car | Toyota RAV4 |
| Movie | Inception |
| Song | Goodbye L.A. |
| Play | In The Heights! |
Goals:
| Academic | MD/MPH |
| Professional | Physician, Public health leader, Policymaker |
| Personal | Father, Philosopher, Friend, Community leader |
Religion:
| Faith | Other |
| Denomination | Agnostic |
Languages:
| Speak | English, conversational Mandarin |
| Read | English, some Mandarin |
| Write | English, some Mandarin |
Sports:
| Play | Swimming |
| Watch | Tennis, Swimming |
Siblings:
| # Brothers | 1 |
| # 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 | 2400 - out of 2400 |
| 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 | 4.00 | 4.0 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.70 | 4.0 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | Pass | Pass/Fail |
Subjects Studied:
| Major subjects | Economics (Bachelor's), Medicine (Doctorate) |
| Minor subjects | None |
Degrees
| Bachelor's | BA/Economics |
| Master's | N/A |
| Doctorate | Pursuing MD |
| Other(s) | High School |
Awards & Activities
| High school | Cadet leadership, Musical leadership, Academic medals and awards |
| College | R&B in a cappella group, Club swimming team |
| Academic | High Honors, Top of class in multiple subjects in high school |
| Professional | N/A |
| Political | Leftist political philosophy |
| Personal | Listening to music, Philosphical writing, Joking with friends, Walking outside |
| Charitable | Volunteer EMT, Volunteer at children's summer camps and reading programs, Local community service projects with high school |
| Others | None |
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) | 22 |
| Chest (inches) | 38 |
| Inseam (inches) | 32 |
| Waist (inches) | 30 |
| Sleeve (inches) | 31 |
| Wrist (inches) | 7.5 |
| Hat size | 7.75 |
| Shoe size | 12 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | None - Only night contacts to reshape cornea |
| 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 |
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| Size |
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| Shape |
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| Color |
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| Shade |
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Eyebrows:
| Arch |
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| Thickness |
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| Set |
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Nose:
| 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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Cheekbones:
| Set |
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| Prominence |
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Mouth:
| Size |
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| Lips |
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| Turn |
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Teeth:
| Size |
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| Set |
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| Condition |
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Chin:
| Shape |
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| Prominence |
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| Cleft |
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Ears:
| Size |
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| Set |
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| Angle |
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| Lobe size |
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| Lobe attachment |
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Hair:
| Color at birth |
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| 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 |
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Other Facial Features:
| Moles |
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| 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 | Medical Safety Officer |
Donor's Father Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | Medicine |
Donor's Father Religion:
| Faith | Other |
| Denomination | Agnostic |
| Primary ethnic origins: | Chinese |
Donor's Father Languages:
| Speak | English, Mandarin |
| Read | English, Mandarin |
| Write | English, Mandarin |
Donor's Father Talents:
| Voice | Baritone |
| Instrument yrs experience | None |
| Other yrs experience | None |
Donor's Father Physical Information
Body
| Age | 57 |
| Height | 6'0" |
| Weight | 175 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 | 30 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | 50 |
| Type | Straight |
Skin:
| Skin Tone | Med |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| 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 | Homemaker |
Donor's Mother Education:
| Level | College |
| Degree | Associate |
| Subject | Mechanical Repair |
Donor's Mother Religion:
| Faith | Other |
| Denomination | Agnostic |
| Primary ethnic origins: | Chinese |
Donor's Mother Languages:
| Speak | English, Mandarin |
| Read | English, Mandarin |
| Write | English, Mandarin |
Donor's Mother Talents:
| Voice | Alto |
| Instrument yrs experience | N/A |
| Other yrs experience | N/A |
Donor's Mother Physical Information
Body
| Age | 57 |
| Height | 5'2" |
| Weight | 110 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts yrs | 30 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | 50 |
| Type | Straight |
Skin:
| Skin Tone | Med |
| Skin Condition | Medium |
Other:
| Chin cleft | None |
| Ear lobe | Detached |
| 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 | Male |
| Age | 29 |
| Height | 6'0" |
| Weight | 170 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Student |
Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | Statistics |
Religion:
| Faith | Christian |
| Denomination | Protestant |
Languages:
| Speak | English, some Mandarin |
| Read | English, some Mandarin |
| Write | English, some Mandarin |
Talents:
| Voice | Bass |
| 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 color | Brown |
| Eye shade | Dark |
| Vision | Near-Sighted |
| Glasses | Single |
| Astigmatism | No |
| Age started wearing glasses/contacts | 10 |
Hair:
| Original hair color | Black |
| If gray, age turned gray | N/A |
| Type | Straight |
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 |
Father's Siblings
Father's Brothers
| # of Brothers | 1 |
| Ages of Brothers: | 54 |
| Education levels for each: | High school |
| Occupations for each: | Construction |
| Religions for each: | Agnostic |
Father's Brothers' Total Children:
| # Boys | N/A |
| # Girls | 2 |
Father's Sisters
| # of Sisters | 2 |
| Ages of Sisters: | 50, 45 |
| Education levels for each: | Some high school, Some high school |
| Occupations for each: | Farmer, Farmer |
| Religions for each: | Agnostic, Agnostic |
Father's Sisters' Total Children:
| # Boys | N/A |
| # Girls | N/A |
Mother's Siblings
Mother's Brothers
| # Brothers | 2 |
| Ages of Brothers: | 55, 53 |
| Education levels for each: | Master's, Master's |
| Occupations for each: | Architect, Executive Vice President |
| Religions for each: | Agnostic, Agnostic |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Father's Parents
Father's Father
Education
| Level | High School |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | Town Accountant |
| Primary ethnic origins: | Chinese |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Mandarin |
| Religion | Agnostic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Father's Mother
Education
| Level | Grade school |
| Degree | None |
| Subject | General Studies |
| Occupation: | Farmer |
| Primary ethnic origins: | Chinese |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Mandarin |
| Religion | Agnostic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Parents
Mother's Father
Education
| Level | College |
| Degree | Bachelor's |
| Subject | Chemistry |
| Occupation: | Chemist |
| Primary ethnic origins: | Chinese |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Mandarin |
| Religion | Agnostic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |
Mother's Mother
Education
| Level | High school |
| Degree | Diploma |
| Subject | General Studies |
| Occupation: | After School Counselor |
| Primary ethnic origins: | Chinese |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Mandarin |
| Religion | Agnostic |
Military
| Branch | N/A |
| Rank | N/A |
| Service Yrs | N/A |

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