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You're in the right place
This short quiz will help us understand if becoming a gestational surrogate with Simple Steps Fertility is a fit for you. It's fast, private, and built with care.
Please enter your full name
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Please enter your email
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Please enter your phone number
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Are you motivated by the desire to help intended parents build a family?
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Are you motivated by the desire to help intended parents build a family?
A
Absolutely
B
Somewhat
C
Not really
Are you between the ages of 21 and 40?
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Are you between the ages of 21 and 40?
A
Yes
B
No
Are you a non-smoker?
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Are you a non-smoker?
A
Yes
B
No
Have you given birth to at least one child of your own?
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Have you given birth to at least one child of your own?
A
Yes
B
No
Have you had any major pregnancy complications in the past?
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Have you had any major pregnancy complications in the past?
A
No, my previous pregnancy/pregnancies were healthy
B
Yes, I had some complications
C
I've never been pregnant
Do you have a BMI of 35 or less?
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Do you have a BMI of 35 or less?
A
Yes
B
No
Do you have a history of mental health diagnosis?
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Do you have a history of mental health diagnosis?
A
Yes
B
No
Are you open to background screening and medical evaluation?
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Are you open to background screening and medical evaluation?
A
Yes
B
No
Do you live in the United States and have legal residency?
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Do you live in the United States and have legal residency?
A
Yes
B
No
Please enter which U.S. state you currently live in:
*
Submit