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:Tenor
Instrument:
Years of experience:		Piano - 4
Other talents:
Years of experience		Physics - 8
Favorite:
ColorWhite
FoodRoasted meat
MusicRock, Metal, Classical
AnimalCat
PetCat
CarMercedes
Movie"One Flew Over The Cuckoo's Nest"
Song"Lost Boys Calling" by Roger Waters
PlayNone. I dislike theatre
Goals:
AcademicTo obtain a PhD in Physics
Professional To work as a physicist
PersonalTo make music
Religion:
Faith None
Denomination Atheist
Languages:
SpeakEnglish, Russian, Georgian
ReadEnglish, Russian, Georgian
WriteEnglish, Russian, Georgian
Sports:
PlaySoccer, Table tennis, Swimming, Skiing
WatchSoccer, Rugby, Basketball
Siblings:
# Brothers0
# Sisters1
Are you a twin?
Identical or fraternal?		No
# of twins in your family0
# Identical sets0
# Fraternal sets0

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		Q=800, V=340, Physics=860
MCAT
on scale of		N/A
LSAT
on scale of		N/A
GMAT
on scale of		N/A
TOEFL
on scale of		95
Other
on scale of		N/A
High School
Question Response on scale of
GPA
on scale of 		N/AN/A
College
Question Response on scale of
GPA
on scale of 		3.44.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.674.0
Subjects Studied:
Major subjectsPhysics
Minor subjectsMathematics, Programming
Degrees
Bachelor'sBS/Physics
Master'sN/A
DoctoratePursuing PhD/Physics
Other(s)High school
Awards & Activities
High schoolTrack
CollegeTeaching Assistant
AcademicN/A
Professional N/A
Political N/A
Personal Lead singer in a band
Charitable N/A
OthersN/A

Military

Served in militaryNo
BranchN/A
RankN/A
Years of service0

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14
Chest (inches)38
Inseam (inches)29
Waist (inches)28
Sleeve (inches)32
Wrist (inches)6
Hat size7
Shoe size10

Physical Aids

Eyes:
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Laser surgery?No
Dental:
DeviceNone
ReasonN/A
Age range during useN/A
Other Physical Aids:
ListNone
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
Septum
  • Thin
  • Average
  • Thick
Cheekbones:
Set
  • Low
  • Average
  • High
Prominence
  • Slight
  • Medium
  • Strong
Mouth:
Size
  • SmallSmall
  • AverageAverage
  • LargeLarge
Lips
  • ThinThin
  • AverageAverage
  • FullFull
Turn
  • Downward
  • Straight
  • Upward
Teeth:
Size
  • AverageAverage
  • LargeLarge
  • SmallSmall
Set
  • Underbite
  • Even
  • Overbite
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
  • FlatFlat
  • AverageAverage
  • AcuteAcute
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
  • Light
  • MedL
  • Med
  • MedDk
  • Dark
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
Shade
  • Light
  • Medium
  • Dark

Family Information

Donor's Parents
Donor's Father Personal Information
OccupationEngineer
Donor's Father Education:
LevelGraduate school
DegreeDoctorate
SubjectEngineering
Donor's Father Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Georgian
Donor's Father Languages:
SpeakEnglish, Russian, Georgian
ReadEnglish, Russian, Georgian
WriteEnglish, Russian, Georgian
Donor's Father Talents:
VoiceBaritone
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age56
Height5'11"
Weight190 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Blond
If gray, age turned gray50
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Mother Personal Information
Occupation Doctor
Donor's Mother Education:
LevelGraduate school
DegreeDoctorate
SubjectMedicine
Donor's Mother Religion:
Faith Christian
Denomination Non-denominational
Primary ethnic origins:Georgian
Donor's Mother Languages:
SpeakEnglish, Russian, Georgian
ReadEnglish, Russian, Georgian
WriteEnglish, Russian, Georgian
Donor's Mother Talents:
VoiceSoprano
Instrument
yrs experience		Piano - 40
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age50
Height5'6"
Weight160 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBlue
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts
yrs		0
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin ToneLight
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of service0
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexFemale
Age25
Height5'6"
Weight130 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation PhD student
Education:
LevelGraduate school
DegreeMaster
SubjectLinguistics
Religion:
Faith Christian
Denomination Non-denominational
Languages:
SpeakEnglish, Russian, Georgian
ReadEnglish, Russian, Georgian
WriteEnglish, Russian, Georgian
Talents:
VoiceSoprano
Instrument
Years of experience		Piano - 15
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorGreen
Eye shadeMedium
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contacts0
Hair:
Original hair color Black
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneLight
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of service0
Father's Siblings
Father's Sisters
# of Sisters1
Ages of Sisters:58
Education levels for each:Doctorate
Occupations for each:Economics
Religions for each:Christian
Father's Sisters' Total Children:
# Boys2
# Girls0
Mother's Siblings
Mother's Brothers
# Brothers1
Ages of Brothers:60
Education levels for each:Doctorate
Occupations for each:Physicist/Academician
Religions for each:Atheist
Mother's Brothers' Total Children:
# Boys0
# Girls2
Mother's Sisters
# Sisters1
Ages of Sisters:62
Education levels for each:Doctorate
Occupations for each:Physicist
Religions for each:Atheist
Mother's Sisters' Total Children:
# Boys1
# Girls1
Father's Parents
Father's Father
Education
LevelCollege
DegreeBachelor's
SubjectEngineering
Occupation:Engineer
Primary ethnic origins:Georgian
Siblings:
# Brothers0
# Sisters1
Other:
LanguagesRussian, Georgian
ReligionAtheist
Military
Branch0
Rank0
Service Yrs0
Father's Mother
Education
LevelGraduate
DegreeDoctorate
SubjectScience
Occupation:Homemaker
Primary ethnic origins:Georgian
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesRussian, Georgian
ReligionAtheist
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelGraduate
DegreeDoctorate
SubjectGeology
Occupation:Geologist
Primary ethnic origins:Georgian
Siblings:
# Brothers0
# Sisters0
Other:
LanguagesRussian, Georgian
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelGraduate
DegreeDoctorate
SubjectGeology
Occupation:Scientist
Primary ethnic origins:Georgian
Siblings:
# Brothers3
# Sisters2
Other:
LanguagesRussian, Georgian
ReligionChristian
Military
BranchN/A
RankN/A
Service Yrs0