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Questions
Personal Information
Talents:
Voice: | Bass |
Instrument: Years of experience: | Guitar - 6 |
Other talents: Years of experience | Breakdancing - 1 |
Favorite:
Color | Blue |
Food | Steak |
Music | Old Rock |
Animal | Lion |
Pet | Yorkshire Terrier |
Car | Mustang |
Movie | Dark Knight |
Song | "Snow" by Red Hot Chili Peppers |
Play | None |
Goals:
Academic | Get into medical school |
Professional | Become a successful ophthalmologist |
Personal | To have a family someday |
Religion:
Faith | Islam |
Denomination | Muslim |
Languages:
Speak | English, Farsi, some Spanish |
Read | English, Farsi, some Spanish |
Write | English, Farsi, some Spanish |
Sports:
Play | Football, Basketball |
Watch | Football, Basketball |
Siblings:
# Brothers | 0 |
# 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 | 1890 (out of 2400) |
ACT on scale of | 31 |
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 | 6.334 | 6.5 |
College
Question | Response | on scale of |
GPA on scale of | 3.33 | 4 |
Graduate School
Question | Response | on scale of |
GPA on scale of | N/A | N/A |
Subjects Studied:
Major subjects | Biology |
Minor subjects | N/A |
Degrees
Bachelor's | Pursuing BS/Biology |
Master's | None |
Doctorate | None |
Other(s) | High School |
Awards & Activities
High school | National Honor Society, High School Beauty Pageant winner, Academic All-District, Honor Roll |
College | None |
Academic | AP Scholar with Honors |
Professional | Ophthalmology internship |
Political | N/A |
Personal | Summer camp |
Charitable | Volunteer at a hospital |
Others | None |
Military
Served in military | No |
Branch | N/A |
Rank | N/A |
Years of service | 0 |
Physical Features
Hands | Right-Handed |
Fingers | Long |
Sizes & Measurements
Neck (inches) | 16.5 |
Chest (inches) | 40 |
Inseam (inches) | 32 |
Waist (inches) | 33 |
Sleeve (inches) | 30 |
Wrist (inches) | 9 |
Hat size | 7.14 |
Shoe size | 12 |
Physical Aids
Eyes:
Vision | Near-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts | 15 |
Laser surgery? | No |
Dental:
Device | None |
Reason | N/A |
Age range during use | N/A |
Other Physical Aids:
List | N/A |
Reason/cause | N/A |
Facial Features
Eyes:
Set |
|
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 |
|
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 |
|
Other Facial Features:
Moles |
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Freckles |
|
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 | Islam |
Denomination | Muslim |
Primary ethnic origins: | Iranian |
Donor's Father Languages:
Speak | Farsi, English |
Read | Farsi, English |
Write | Farsi, English |
Donor's Father Talents:
Voice | Tenor |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Father Physical Information
Body
Age | 49 |
Height | 5'11" |
Weight | 165 lbs. |
Hands | Right-Handed |
Donor's Father Facial Features
Eyes:
Eye Color | Brown |
Eye shade | Medium |
Vision | Far-Sighted |
Glasses | Single |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 20 |
Hair:
Original hair color | Black |
If gray, age turned gray | N/A |
Type | Wavy |
Skin:
Skin Tone | MedL |
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 | 0 |
Donor's Mother Personal Information
Occupation | Realtor |
Donor's Mother Education:
Level | Some college |
Degree | Not Completed |
Subject | Business |
Donor's Mother Religion:
Faith | Islam |
Denomination | Muslim |
Primary ethnic origins: | Iranian |
Donor's Mother Languages:
Speak | Farsi, English |
Read | Farsi, English |
Write | Farsi, English |
Donor's Mother Talents:
Voice | Alto |
Instrument yrs experience | None |
Other yrs experience | None |
Donor's Mother Physical Information
Body
Age | 47 |
Height | 5'2" |
Weight | 145 lbs. |
Hands | Right-Handed |
Facial Features
Eyes:
Eye Color | Green |
Eye shade | Medium |
Vision | Near-Sighted |
Glasses | Bifocal |
Astigmatism | No |
Age started wearing glasses/contacts yrs | 45 |
Hair:
Original hair color | Brown |
If gray, age turned gray | N/A |
Type | Straight |
Skin:
Skin Tone | MedL |
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 | 0 |
Father's Siblings
Father's Brothers
# of Brothers | 4 |
Ages of Brothers: | 59, 57, 52, 47 |
Education levels for each: | Some High School, High School, High School, High School |
Occupations for each: | Business Owner, Business Owner, Business Owner, Business Owner |
Religions for each: | Islam, Islam, Islam, Islam |
Father's Brothers' Total Children:
# Boys | 6 |
# Girls | 2 |
Father's Sisters
# of Sisters | 2 |
Ages of Sisters: | 53, 46 |
Education levels for each: | High School, High School |
Occupations for each: | Homemaker, Homemaker |
Religions for each: | Islam, Islam |
Father's Sisters' Total Children:
# Boys | 3 |
# Girls | 3 |
Mother's Siblings
Mother's Brothers
# Brothers | 1 |
Ages of Brothers: | 42 |
Education levels for each: | High School |
Occupations for each: | Business Owner |
Religions for each: | Islam |
Mother's Brothers' Total Children:
# Boys | 1 |
# Girls | 0 |
Mother's Sisters
# Sisters | 3 |
Ages of Sisters: | 44, 38, 24 |
Education levels for each: | High School, High School, (Pursuing) Bachelor's |
Occupations for each: | Homemaker, Homemaker, Student |
Religions for each: | Islam, Islam, Islam |
Mother's Sisters' Total Children:
# Boys | 2 |
# Girls | 0 |
Father's Parents
Father's Father
Education
Level | Grade School |
Degree | None |
Subject | General Studies |
Occupation: | Business Owner |
Primary ethnic origins: | Iranian |
Siblings:
# Brothers | 2 |
# Sisters | 0 |
Other:
Languages | Farsi |
Religion | Islam |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |
Father's Mother
Education
Level | Grade School |
Degree | None |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Iranian |
Siblings:
# Brothers | 0 |
# Sisters | 3 |
Other:
Languages | Farsi |
Religion | Islam |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |
Mother's Parents
Mother's Father
Education
Level | High School |
Degree | Diploma |
Subject | General Studies |
Occupation: | Real Estate |
Primary ethnic origins: | Iranian |
Siblings:
# Brothers | 2 |
# Sisters | 0 |
Other:
Languages | Farsi |
Religion | Islam |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |
Mother's Mother
Education
Level | Grade School |
Degree | None |
Subject | General Studies |
Occupation: | Homemaker |
Primary ethnic origins: | Iranian |
Siblings:
# Brothers | 2 |
# Sisters | 2 |
Other:
Languages | Farsi |
Religion | Islam |
Military
Branch | None |
Rank | N/A |
Service Yrs | 0 |