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323.933.8918

SURROGATE MATCHING QUESTIONNAIRE

Please answer each question as fully and as thoughtfully as possible. Your answers will help us understand your expectations moving forward as well as help us properly match you with your Intended Parent(s).

Name(Required)
Additional stipends may be awarded to help facilitate changes.
Would you be willing to stop caffeine intake if requested by the intended parents?(Required)
If your full time job is raising your kids, please let us know all about it!
books, tv shows, movies, Broadway shows?

The following questions relate to your partner/spouse. If you are not currently in a relationship, please skip the next four questions.

Please be as specific or as general as you'd like.
Are you willing to undergo any non-invasive prenatal screening requested by the intended parent?(Required)
Additional compensation would apply.

The following questions relate to selective reduction/termination/abortion. Please answer each question as thoroughly as possible.

Would you be willing to transfer 2 embryos for the hope of a twin pregnancy?:(Required)
Considering both double embryo transfers, and the possibility of a single embryo splitting.
Would you be willing to carry for a couple that already has children?(Required)
Would you be willing to carry for a Single Male?(Required)
Would you be willing to carry for a Single Female?(Required)
Would you be willing to carry for a Same-sex Male Couple?(Required)
Would you be willing to carry for a Same-sex Female Couple?(Required)
Would you be willing to carry for a person over the age of 50?(Required)
Or any other general thoughts that may be of note.

ELEVATE

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