Do you qualify to be a surrogate?
Take our 5-minute quiz below to find out!
Are you between the ages of 21 and 39?
Is your BMI under 33?
Your BMI is:
Your BMI is:
Do you live in Idaho, Arizona, Wyoming, Nebraska, Louisiana, Iowa, Mississippi, Tennessee, Indiana, Michigan, Virginia or New York?
If you move, check back in with us!
Do you have a valid driver's license and reliable transportation?
Do you have car insurance?
Are you a U.S. Citizen?
Have you given birth before?
Were any of your children delivered before 37 weeks?
Have you ever delivered a stillborn?
Have you had more than 3 C-Sections?
Have you had more than 3 abortions?
Have you had 3 or more miscarriages?
Have you ever lost custody of a child?
Have you ever been diagnosed with Schizophrenia, Bipolar Disorder, or Post Traumatic Stress Disorder?
Have you ever taken anti-depressants, anti-psychotics, or anti-anxiety medications during pregnancy?
Do you suffer from frequent panic attacks?
Do you smoke or use tobacco?
Nicotine testing is part of the surrogate screening process. Are you willing to take a nicotine screening test?
Do you currently use recreational drugs?
Do you drink alcohol daily?
Would you be willing to stop consuming alcohol if you become pregnant?
Drug testing is part of the surrogate screening process. Are you willing to take a drug test?
Have you or your partner ever been convicted of a felony?
Are you currently receiving any type of government assistance such as welfare or food stamps?
If your application is approved, are you willing to have your full medical records released to the agency?
If your application is approved are you (and your spouse or partner, if applicable) willing to have a full background check conducted and released to the agency?
Share your Results:
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