Florida Surrogacy Agency | Advocates for Surrogacy

Have you given birth to at least one child? *

YesNo

Have you ever been convicted of a misdemeanor or felony? *

YesNo

Do you currently take any medications? *

YesNo

Do you smoke cigarettes or vape? *

YesNo

Do you use recreational drugs? *

YesNo

Have you experienced post partum depression (PPD) requiring medication or counseling? *

YesNoNot sure

Do you have reliable transportation? *

YesNo

Do you live in government housing? *

YesNo

Check which one applies *

U.S. CitizenPermanent ResidentNeither

Are you working with any other surrogacy agency or independently with Intended Parents or listed on any matching sites? *

YesNo

How did you hear about us?

Preferred Method of Contact

EmailPhone CallText

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