Questions
Personal Information
Talents:
| Voice: | Bass |
| Tell us about your interests/talents and how long you have been pursuing. Provide several. | Skiing - 11 years; Snowboarding - 3 years, Skateboarding - 4 years; Reading - 20 years; Writing (short stories) - 10 years, Trading card games - 10 years, Video games - 15 years, Music (albums/concerts) - 20 years; Cooking - 5 years |
Favorite:
| Color | Dark Purple |
| Food | Watermelon |
| Music | J-pop |
| Animal | Jellyfish |
| Pet | Cat |
| Car | Nissan Skyline |
| Movie | Memento |
| Song | ????? (Into the Night) by YOASOBI |
Goals:
| Academic | PhD in Epidemiology |
| Professional | Public health research and/or teaching |
| Personal | To live happily and comfortably |
Religion:
| Faith | None |
| Denomination | N/A |
Languages:
| Speak | Chinese, English, Japanese |
Sports:
| Play | N/A |
| Watch | N/A |
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 | 1400 - 1600 |
| ACT on scale of | N/A - N/A |
| GRE on scale of | 161/154/4.0 - 170/170/6.0 |
| 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 | 3.82 | 4.00 |
College
| Question | Response | on scale of |
| GPA on scale of | 3.51 | 4.00 |
Graduate School
| Question | Response | on scale of |
| GPA on scale of | 3.91 | 4.00 |
Subjects Studied:
| Major subjects | Biology, Psychology, Criminology, Epidemiology |
| Minor subjects | Statistics |
Degrees
| Bachelor's | Biological Sciences, Psychology, Sociology - Criminology |
| Master's | Public Health - Epidemiology |
| Doctorate | N/A |
| Other(s) | N/A |
Awards & Activities
| High school | HIgh School Football |
| College | Japanese Culture Association, Dean's List, Graduated Cum Laude |
| Academic | N/A |
| Professional | Paper on role of screening technologies in reduction of substandard medicines in low- and middle-income countries |
| Political | N/A |
| Personal | N/A |
| Charitable | Volunteer at Feeding America |
| Others | N/A |
Military
| Served in military | No |
| Branch | N/A |
| Rank | N/A |
| Years of service | N/A |
Physical Features
| Hands | Ambidextrous |
| Fingers | Medium |
Sizes & Measurements
| Neck (inches) | 16 |
| Chest (inches) | 42 |
| Inseam (inches) | 30 |
| Waist (inches) | 39 |
| Sleeve (inches) | 33 |
| Hat size | 7 ¾ |
| Shoe size | 12 |
Physical Aids
Eyes:
| Vision | Near-Sighted |
| Glasses | Bifocal - -4.75/-5.50 |
| Astigmatism | Yes |
| Age started wearing glasses/contacts | 10 |
| Laser surgery? | No |
Dental:
| Device | Retainer |
| Reason | Cosmetic |
| Age range during use | 20-22 |
Other Physical Aids:
| List | N/A |
| 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 |
|
Round
Straight
Wide
Convex
Straight
ConcaveCheekbones:
| Set |
|
Mouth:
| Size |
|
| Lips |
|
| Turn |
|
Small
Average
Large
Thin
Average
FullTeeth:
| Size |
|
| Set |
|
| Gap | No |
| Condition |
|
Average
Large
SmallChin:
| Shape |
|
| Prominence |
|
| Cleft |
|
Round
Oval
Square
None
Slight
StrongEars:
| Size |
|
| Set |
|
| Angle |
|
| Lobe size |
|
| Lobe attachment |
|
Small
Average
Large
Detached
AttachedHair:
| Color at birth |
|
| Natural color in adulthood |
|
| Shade |
|
| Type |
|
| Fullness |
|
| Texture |
|
Skin:
| Tone More about skin tones |
|
| Tan ability |
|
| Condition |
|
Hairline:
| Forehead |
|
| Contour |
|
Other Facial Features:
| Moles |
|
| Freckles |
|
| Dimples |
|
| Adam's apple |
|
Facial Hair
| Thickness |
|
| Color |
|
| Shade |
|
Family Information
Donor's Parents
Donor's Father Personal Information
| Occupation | Physical Therapist |
Donor's Father Education:
| Level | College |
| Degree | Bachelor |
| Subject | Linguistics |
Donor's Father Religion:
| Faith | None |
| Denomination | N/A |
Donor's Father Languages:
| Speak | English, Japanese |
Donor's Father Talents:
| Voice | Bass |
| Instrument | N/A |
| Other | Track and field |
Donor's Father Physical Information
Body
| Age | 55 |
| Height | 6' 0" |
| Weight | 175 lbs. |
| Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Black |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Warm ivory |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | None |
Donor's Mother Personal Information
| Occupation | IT Consultant |
Donor's Mother Education:
| Level | Graduate school |
| Degree | Doctorate |
| Subject | Business Administration |
Donor's Mother Religion:
| Faith | None |
| Denomination | N/A |
Donor's Mother Languages:
| Speak | Chinese, English |
Donor's Mother Talents:
| Voice | Alto |
| Instrument | Chinese plucked zither (guzheng) |
| Other | Chinese painting |
Donor's Mother Physical Information
Body
| Age | 58 |
| Height | 5' 5" |
| Weight | 120 lbs. |
| Hands | Right-Handed |
Facial Features
Eyes:
| Eye Color | Brown |
| Eye shade | Dark |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Black |
| Type | Straight |
Skin:
| Skin Tone More about skin tones | Warm ivory |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial Dimples | None |
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
| Full/Half sibling | Half |
Sibling #1 Physical Information
Body
| Age | 20 |
| Height | 5' 10" |
| Weight | 160 lbs. |
| Hands | Right-Handed |
Sibling #1 Personal Information
| Occupation | Student |
Education:
| Level | Some college |
| Degree | Pursuing Diploma |
| Subject | Computer Science |
Languages:
| Speak | Chinese, English |
Talents:
| Voice | Baritone |
| Instrument | Flute |
| Other | N/A |
Sibling #1 Children:
| # Boys Ages: | 0 |
| # Girls Ages: | 0 |
Sibling #1 Facial Features
Eyes:
| Eye color | Brown |
| Eye shade | Dark |
| Corrective Lenses | Yes |
Hair:
| Original hair color | Black |
| Type | Straight |
Skin:
| Skin tone More about skin tones | Warm ivory |
Other:
| Chin cleft | None |
| Ear lobe | Attached |
| Facial dimples | Medium |
Father's Siblings
Father's Sisters
| # of Sisters | 1 |
| Ages of Sisters: | 54 |
| Education levels for each: | High School |
| Occupations for each: | Truck Driver |
Father's Sisters' Total Children:
| # Boys | 1 |
| # Girls | 1 |
Mother's Siblings
Mother's Brothers
| # Brothers | 3 |
| Ages of Brothers: | 72, 70, 35 |
| Education levels for each: | High School, High School, High School |
| Occupations for each: | Marketing, Real Estate Manager, Jewelry Store Apprentice |
Mother's Brothers' Total Children:
| # Boys | 1 |
| # Girls | 2 |
Mother's Sisters
| # Sisters | 5 |
| Ages of Sisters: | 68, 65, 62, 60, 57 |
| Education levels for each: | High School, High School, High School, High School, High School |
| Occupations for each: | Teacher, Homemaker, Department Store Clerk, Computer Parts Manufacturing, Computer Parts Manufacturing |
Mother's Sisters' Total Children:
| # Boys | 3 |
| # Girls | 4 |
Father's Parents
Father's Father
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Real Estate Manager |
Siblings:
| # Brothers | 2 |
| # Sisters | 0 |
Other:
| Languages | Japanese |
| Religion | None |
Father's Mother
Education
| Level | Trade school |
| Degree | Associate |
| Occupation: | Acupuncturist |
Siblings:
| # Brothers | 0 |
| # Sisters | 3 |
Other:
| Languages | Japanese |
| Religion | None |
Mother's Parents
Mother's Father
Education
| Level | High school diploma |
| Degree | Other |
| Occupation: | Factory Worker |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Chinese |
| Religion | Other |
Mother's Mother
Education
| Level | Some High school |
| Degree | Not Completed |
| Occupation: | Homemaker |
Siblings:
| # Brothers | 0 |
| # Sisters | 0 |
Other:
| Languages | Taiwanese |
| Religion | Other |