Questionnaire

Surrogacy Plus
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(415) 738-2047

At Surrogacy Plus we are committed to being there for our surrogates every step of the way.

Prescreening Questionnaire

Estimated completion time:
3-5 minutes

Help someone have their dream family while earning money for yours.

A surrogate is an amazing individual offers hope and the precious gift of family to those dreaming of becoming parents.

If you're a mother yourself, between 21 and 42 years old, lead a healthy lifestyle, and are curious about the profound impact surrogacy can have— not just on the lives of others, but on your own as well—we invite you to join our surrogate community.

Surrogacy Plus Candidates are well compensated and we support you at every step, ensuring a fulfilling and empowering experience.

Our surrogates set their own compensation themselves. Typically, our surrogates set a compensation ranging $45,000 to $75,000.

Please confirm you meet the following qualifications before proceeding to the application:

Aged 21-42
Non-smoker and maintain a BMI under 34
Have given birth to at least one child
Free from any criminal history

The application process consists of two steps:

1) The Prescreen Questionnaire (complete below): A short questionnaire that screens you on basic qualifications.

2) Full Questionnaire: Once the prescreen is reviewed and accepted, we will prompt you to complete the full questionnaire. It is a slightly more involved survey that dives into more detail about you and your thoughts around the process.

3) Signing up - At the end of the application process, we will set up a call to sign you up. Once you signed-up, you will be paid the sign-up bonus (that can be as early as day after tomorrow).

We would really love for you to join our Surrogacy Plus family. Get started below.

Already started an application? Sign In

1) What is your First Name? *

2) What is your Last Name? *

3) What is your Date of Birth? *

4) What is your primary phone number? *

5) Do we have your permission to text at this number? *

6) What state do you live in? *

7) Are you a US citizen or a permanent resident? *

8) How many pregnancies have resulted in a live birth? *

9) How many of your deliveries were C-section deliveries? *

10) Are you receiving any federal or state financial assistance? *

11) What is your height? *

12) What is your weight? *

13) What is your relationship status? *

14) Assuming you are eligible, how likely are you to become a surrogate? *

15) How did you hear about us? *

16) I consent to the storage and processing of personal data submitted through this form. *

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