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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:Baritone
Instrument:
Years of experience:		Guitar, Violin - 10, 1
Other talents:
Years of experience		None
Favorite:
ColorGreen
FoodSteak
MusicRock & Roll, Rap, EDM
AnimalWhite tiger
PetDog
CarAudi R10 Spyder
MovieDead Poets Society
Song"Aces High" by Iron Maiden
PlayLes Miserables
Goals:
AcademicMaster's degree
Professional Engineer
PersonalTravel the world
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish, Portuguese
ReadEnglish, Spanish, Portuguese
WriteEnglish, Spanish, Portuguese
Sports:
PlayBasketball, Football, Soccer, Baseball, Ultimate Frisbee
WatchBasketball, Football, Soccer, Baseball, Ultimate Frisbee
Siblings:
# Brothers2
# 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		1190 - out of 1600
ACT
on scale of		32 - out of 36
GRE
on scale of		160 - out of 170
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 		99.1100.0
College
Question Response on scale of
GPA
on scale of 		3.444.0
Graduate School
Question Response on scale of
GPA
on scale of 		3.224.0
Subjects Studied:
Major subjectsCalculus
Minor subjectsN/A
Degrees
Bachelor'sBS/Systems Engineering
Master'sPursuing MS/Computer and Systems Engineering
DoctorateN/A
Other(s)N/A
Awards & Activities
High schoolGraduated in the top three percent of class
CollegeDean's List for four semesters, Honors program
AcademicN/A
Professional N/A
Political N/A
Personal N/A
Charitable Helped build houses with Habitat for Humanity
OthersN/A

Military

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

Physical Features

HandsRight-Handed
FingersMedium
Sizes & Measurements
Neck (inches)14.5
Chest (inches)42
Inseam (inches)32
Waist (inches)34
Sleeve (inches)30
Wrist (inches)6.25
Hat size7.25
Shoe size10.5

Physical Aids

Eyes:
Vision Near-Sighted
GlassesSingle
AstigmatismYes
Age started wearing glasses/contacts10
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
OccupationCorporate Internal Affairs
Donor's Father Education:
LevelCollege
DegreeAssociate
SubjectElectrical Applications
Donor's Father Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Mexican
Donor's Father Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Donor's Father Talents:
VoiceBass
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Father Physical Information
Body
Age50
Height6'0"
Weight210 lbs.
HandsRight-Handed
Donor's Father Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Far-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		20
Hair:
Original hair color Brown
If gray, age turned gray45
TypeStraight
Skin:
Skin ToneMed
Skin ConditionCombination
Other:
Chin cleftSlight
Ear lobeDetached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Mother Personal Information
Occupation Homemaker
Donor's Mother Education:
LevelHigh school
DegreeNot Completed
SubjectGeneral Studies
Donor's Mother Religion:
Faith Christian
Denomination Catholic
Primary ethnic origins:Mexican
Donor's Mother Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Donor's Mother Talents:
VoiceAlto
Instrument
yrs experience		None
Other
yrs experience		None
Donor's Mother Physical Information
Body
Age50
Height5'2"
Weight180 lbs.
HandsRight-Handed
Facial Features
Eyes:
Eye ColorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts
yrs		15
Hair:
Original hair color Brown
If gray, age turned gray45
TypeStraight
Skin:
Skin ToneMed
Skin ConditionMedium
Other:
Chin cleftNone
Ear lobeAttached
Facial DimplesNone
Military
Served in MilitaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Siblings
Donor's Sibling(s) (1-4)
Donor's Sibling #1
Full/Half siblingFull
Sibling #1 Physical Information
Body
SexMale
Age26
Height5'10"
Weight170 lbs.
HandsRight-Handed
Sibling #1 Personal Information
Occupation Medical Lab Technician
Education:
LevelGraduate school
DegreeMaster
SubjectMedicine
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceBaritone
Instrument
Years of experience		Guitar - 10
Other
Years of experience		None
Sibling #1 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #1 Facial Features
Eyes:
Eye colorBrown
Eye shadeMedium
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts8
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMedL
Skin conditionOily
Other:
Chin cleftSlight
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Donor's Sibling #2
Full/Half siblingFull
Sibling #2 Physical Information
Body
SexFemale
Age21
Height5'6"
Weight150 lbs.
HandsRight-Handed
Sibling #2 Personal Information
Occupation Student
Education:
LevelCollege
DegreePursuing
SubjectBiology
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceSoprano
Instrument
Years of experience		Violin - 10
Other
Years of experience		None
Sibling #2 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #2 Facial Features
Eyes:
Eye colorBrown
Eye shadeLight
Vision Normal
GlassesNone
AstigmatismNo
Age started wearing glasses/contactsN/A
Hair:
Original hair color Brown
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 serviceN/A
Donor's Sibling #3
Full/Half siblingFull
Sibling #3 Physical Information
Body
SexMale
Age17
Height5'11"
Weight160 lbs.
HandsLeft-Handed
Sibling #3 Personal Information
Occupation Student
Education:
LevelHigh school
DegreePursuing
SubjectGeneral Studies
Religion:
Faith Christian
Denomination Catholic
Languages:
SpeakEnglish, Spanish
ReadEnglish, Spanish
WriteEnglish, Spanish
Talents:
VoiceTenor
Instrument
Years of experience		Violin - 10
Other
Years of experience		None
Sibling #3 Children:
# Boys
Ages:		0
# Girls
Ages:		0
Sibling #3 Facial Features
Eyes:
Eye colorBrown
Eye shadeLight
Vision Near-Sighted
GlassesSingle
AstigmatismNo
Age started wearing glasses/contacts8
Hair:
Original hair color Brown
If gray, age turned grayN/A
TypeStraight
Skin:
Skin toneMed
Skin conditionMedium
Other:
Chin cleftNone
Ear lobeDetached
Facial dimplesNone
Military
Served in militaryNo
BranchN/A
RankN/A
Years of serviceN/A
Father's Siblings
Father's Brothers
# of Brothers5
Ages of Brothers:55, 53, 48, 42, 35
Education levels for each:Master's, High school (HS), Associate's, HS, HS
Occupations for each:Import/Export, Home Caregiver, Import/Export, Unemployed, Store Manager/Hotel Consultant
Religions for each:Catholic (all)
Father's Brothers' Total Children:
# BoysN/A
# Girls6
Father's Sisters
# of Sisters1
Ages of Sisters:45
Education levels for each:High school
Occupations for each:Customs Officer
Religions for each:Catholic
Father's Sisters' Total Children:
# Boys2
# GirlsN/A
Mother's Siblings
Mother's Brothers
# Brothers5
Ages of Brothers:55, 52, 49, 45, 44
Education levels for each:High School (all)
Occupations for each:Restaurant Worker, None, Import/Export, Caregiver, Social Worker
Religions for each:Catholic (all)
Mother's Brothers' Total Children:
# Boys7
# Girls6
Mother's Sisters
# Sisters3
Ages of Sisters:55, 53, 48
Education levels for each:High school (all)
Occupations for each:Homemaker (all)
Religions for each:Catholic (all)
Mother's Sisters' Total Children:
# Boys3
# Girls6
Father's Parents
Father's Father
Education
LevelSome primary school
DegreeNone
SubjectGeneral Studies
Occupation:Store Manager
Primary ethnic origins:Mexican
Siblings:
# Brothers5
# Sisters2
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Father's Mother
Education
LevelSome primary school
DegreeNone
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Mexican
Siblings:
# Brothers3
# Sisters4
Other:
LanguagesEnglish, Spanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Parents
Mother's Father
Education
LevelSome primary school
DegreeNone
SubjectGeneral Studies
Occupation:Factory Worker
Primary ethnic origins:Mexican
Siblings:
# Brothers3
# Sisters4
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0
Mother's Mother
Education
LevelSome primary school
DegreeNone
SubjectGeneral Studies
Occupation:Homemaker
Primary ethnic origins:Mexican
Siblings:
# Brothers2
# Sisters5
Other:
LanguagesSpanish
ReligionCatholic
Military
BranchN/A
RankN/A
Service Yrs0