Are you a mom with a big heart? Becoming a surrogate with Reproductive Options allows you to help another family experience the joy of parenthood while also providing extra income to support your own. Take our short quiz to see if surrogacy could be the perfect fit for you and your family.

Let’s start with the basics — just a few easy questions to get to know you better.

What’s your full name so we know who to thank for taking our quiz? 😊 *

What’s the best email to reach you at? *

Can we get your cell number in case we need to follow up? 📱 *

What city and state do you call home? *

When’s your birthday? 🎂 (MM/DD/YYYY) *

Have you had at least one healthy, full-term pregnancy and delivery? *

Yes ✅

No ❌

What’s your current citizenship status? *

U.S. Citizen

U.S. Permanent Resident

Other (please specify)

If other, please specify *

Have you ever had a C-section? *

Yes

If yes, how many C-sections have you had? *

Are you currently pregnant? *

Yes

What is your estimated due date, if pregnant? 📅 *

Are you currently breastfeeding? *

Yes

🌟 Have you ever applied to be a surrogate before? *

Yes

If yes, which agency or agencies did you apply to? *

Which method of birth control do you currently use? *

If you use another method of birth control, what is it? *

What’s your current weight? (Honesty helps us make sure you meet surrogacy guidelines!) *

And how tall are you? *

IVF physicians prefer a BMI between 19–32 for surrogacy. If you fall outside this range, you may need to gain or lose weight to meet qualifications. ⚖️ I understand and accept this requirement. *

Yes

Would you be willing to take doctor-prescribed medications for IVF, including injections? *

Yes

I’m not sure — I’d like more information

Quick science note: During IVF, medications help prepare your uterus to accept the embryo and safely suppress ovulation so only the intended embryo implants. It’s teamwork with your body and science to make pregnancy possible. *

Awesome! I get it and am ready.

I still have questions but am open to learning more.

I will not take hormonal medications (this may mean surrogacy isn’t possible).

Amazing! Let’s chat about your lifestyle and family now! 💛 These next questions help us understand your lifestyle, support system, and daily routine to see how surrogacy could fit into your world.

Which of these best describes your current relationship? *

What’s your partner or spouse’s name? (if applicable) Don’t worry — we won’t contact them! 😉 *

How does your partner feel about your interest in surrogacy? *

Totally supportive and excited! 🌟

A bit unsure or has lots of questions 🤔

Not supportive at all ❌

Not sure — we haven’t talked about it

Would you and your partner pass a background check? *

We both have clean records and would pass.

One or both of us have a minor offense (like a DUI) from more than 3 years ago.

One or both of us have a felony conviction and likely wouldn’t pass.

Did anyone refer you to us? 👀 *

Yes

If yes, who referred you? (First and last name) *

💌 Last final question — is there anything else you’d like us to know or any questions you’d like answered? *

Yes

If yes, type your thoughts or questions here *