Welcome

Could surrogacy be part of your story?

This short, private questionnaire will help you review common starting qualifications. It is not an application, medical evaluation, or guarantee of eligibility.

• You are an adult with prior pregnancy and delivery experience.
• You are currently parenting a child.
• You have dependable household support.
• You are willing to complete medical, psychological, legal, and background screening.

Step 1 of 4

Are you between 21 and 42 years old?

Step 2 of 4

Have you completed at least one pregnancy and delivery?

A professional medical-record review is required later; this question is only a preliminary check.

Step 3 of 4

Are you currently parenting a child?

Step 4 of 4

Do you currently live legally in the United States?

Your next step

Thank you for sharing.

This preliminary questionnaire runs in your browser and does not save or send your answers.