Hatch Surrogacy Pre-Qualification Quiz

Become a Surrogate

Earn $61,100+ while helping a Family have a child

Start Here:

Are you a U.S. Citizen?

👍

Yes

I have a Green Card

👎

See if you qualify

Answer a few simple questions to get started

Quick 2 minute process

Get started with our simple questionnaire

Secure and private

Your data is protected

Become a Surrogate

Earn $66,100+ while helping a Family have a child

Start Here:

Are you a U.S. Citizen?

👍

Yes

I have a Green Card

👎

See if you qualify

Answer a few simple questions to get started

Quick 2 minute process

Get started with our simple questionnaire

Secure and private

Your data is protected

Why are you completing this application?

Let us know.

Please select one

I definitely want to become a surrogate and work with Hatch

I'm not sure if I'm qualified

I'm exploring agencies

I'm comparing compensation packages

I'm only open to certain matches

I'm not sure yet

I don't want to become a Surrogate

Other

What best describes you then?

Let us know.

Have you given birth to a child you are currently raising?

Please choose an option

👍

Yes

👎

Have you ever been a surrogate before?

Please choose an option

👍

Yes

👎

What agency were you a surrogate for?

Start Typing Below

Please choose an option

Circle

Growing Generations

Physicians Surrogacy

Same Love Surrogacy

ConceiveAbilities

The Fertility Agency

Family Source

Other

How old are you?

Age:

How many C-Sections have you had?

Please choose an option

Did you have any of the following conditions in your most recent pregnancy?

Please choose an option

Gestational diabetes

Pre-Eclampsia or Eclampsia

Cholestasis

Postpartum hemorrhage requiring blood transfusion or D&C

Birth before 37 weeks (Except Twins)

None of these

How did you control the gestational diabetes?

Please choose an option

Insulin

Diet

Did you take any of these in your most recent pregnancy?

Please choose an option

Anti-Depression Meds

Anti-Anxiety Meds

I did not take these during my most recent pregnancy

Are you currently taking...

Please choose an option

Anti-Depression Meds

Anti-Anxiety Meds

I am not taking either

Are you willing to stop taking those medications for a surrogacy journey?

Please choose an option

Yes

Have you ever been arrested?

We ask this because we do a background check on all of our candidates.

Please choose an option

Yes, Non-Violent Crime

Yes, Violent Crime

Has anyone in your household or your current partner ever been arrested?

We ask this because we do a background check on anyone living in the house as well as any partner you may have.

Please choose an option

Yes, Non-Violent Crime

Yes, Violent Crime

Have you ever been diagnosed or treated for substance abuse?

Please choose an option

Yes, Drugs

Yes, Alcohol

Yes, Both

What is your height and weight?

Why are we asking? There are BMI requirements for surrogacy.

Feet

Not a valid number between 4-7 feet

Inches

Not a valid number between 0-11 inches

Weight in pounds

Please put in a valid weight between 50-350 pounds

What is your BMI?

We calculated your BMI from the previous screens input

**@weight/(((@feet12)+@inches)^2)703 is your BMI**

My BMI is...

Above 32

At or Below 32

Are you receiving any kind of government assistance?

These are examples of government cash assistance:

Food Stamps, WIC, Welfare, Calworks, etc

Please choose an option

Yes

Are you able & willing to stop your government financial aid while being a surrogate?

Please choose an option

Yes

Have you had an IUD?

Please choose an option

Yes, I have one in now

Yes, I had one but it was removed already

Never

Processing your Information

Let's see if you should apply

Checking your BMI

Using the calculations from before

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

🎉 Final Step to see if you Pre-Qualify

Before we pre-qualify you we want to make sure you are a real person. Please fill out the form below.

🔒 We are commited to protecting and respecting your privacy.

We'll only use what you provide to send you information about Hatch Surrogacy.

First name

Please enter your first name

Last name

Please enter your last name

Email address

Please enter a valid email address

Phone

Please specify an answer

Country

Please specify an answer

Interested In

Please specify an answer

Mixed Source

Please specify an answer

Label

Please specify an answer

Gclid

Please specify an answer

fbclid

Please specify an answer

Label

Please specify an answer

By opting in, you agree to receive automated text messages, phone calls, and emails from Hatch Fertility.

Hatch is committed to protecting and respecting your privacy. We’ll only use your personal information to provide the services you requested from us.

These communications may include updates, offers, reminders, and other information related to Hatch Fertility services. Message and data rates may apply for text messages. You can opt out of text messages at any time by replying "STOP" to any message, and you can unsubscribe from emails through the link provided in our emails. Consent to receive these communications is not a condition of any purchase or service provided by Hatch Fertility. By providing your phone number, email address, and opting in, you confirm that you are the account holder or have the account holder's permission to enroll. You also agree to our Privacy Policy.

We think you may be a great candidate for surrogacy!

Your next step is to fill out a full application to see if you fully qualify

Pre-Qualify

Full Application

Meet Our Team

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Unfortunately based on your answers we do not think you would qualify at this time

Feel free to browse our website for more details on qualifications and if you believe this is in error, please reach out

Even though you may not qualify, you may know some mom's who would! You can get up to $3,000 per referred surrogate. To become a part of our referal program please apply below:

Processing your answers

Checking Your Answers

We are seeing if your answers line up with an ideal candidate

Unfortunately we are not accepting candidates in this state currently

Feel free to browse our website for more details on the best states to be a surrogate and if you believe this is in error, please reach out

Even though you may not be in a state that qualifies, you may know some mom's who do live in a state that would! You can get up to $3,000 per referred surrogate. To become a part of our referal program please apply below:

Become a Surrogate

Earn $61,100+ while helping a Family have a child

Start Here:

Become a Surrogate

Earn $66,100+ while helping a Family have a child

Start Here:

Why are you completing this application?

Let us know.

What best describes you then?

Let us know.

Have you given birth to a child you are currently raising?

Have you ever been a surrogate before?

What agency were you a surrogate for?

Start Typing Below

How old are you?

How many C-Sections have you had?

Did you have any of the following conditions in your most recent pregnancy?

How did you control the gestational diabetes?

Did you take any of these in your most recent pregnancy?

Are you currently taking...

Are you willing to stop taking those medications for a surrogacy journey?

Have you ever been arrested?

We ask this because we do a background check on all of our candidates.

Has anyone in your household or your current partner ever been arrested?

We ask this because we do a background check on anyone living in the house as well as any partner you may have.

Have you ever been diagnosed or treated for substance abuse?

What is your height and weight?

Why are we asking? There are BMI requirements for surrogacy.

What is your BMI?

We calculated your BMI from the previous screens input

@weight/(((@feet*12)+@inches)^2)*703 is your BMI

Are you receiving any kind of government assistance?

Are you able & willing to stop your government financial aid while being a surrogate?

Have you had an IUD?

What state do you live in?

We use this to determine if you live in an eligible state

Processing your Information

Let's see if you should apply

🎉 Final Step to see if you Pre-Qualify

Before we pre-qualify you we want to make sure you are a real person. Please fill out the form below.

🔒 We are commited to protecting and respecting your privacy.

We'll only use what you provide to send you information about Hatch Surrogacy.

We think you may be a great candidate for surrogacy!

Your next step is to fill out a full application to see if you fully qualify

Processing your answers

Processing your answers

Processing your answers

Processing your answers

Processing your answers

Processing your answers

Processing your answers

Processing your answers

Processing your answers

Processing your answers

Unfortunately based on your answers we do not think you would qualify at this time

Feel free to browse our website for more details on qualifications and if you believe this is in error, please reach out

Processing your answers

Unfortunately we are not accepting candidates in this state currently

Feel free to browse our website for more details on the best states to be a surrogate and if you believe this is in error, please reach out

Error

Sorry, your response could not be sent. Please check your internet connection.

**@weight/(((@feet12)+@inches)^2)703 is your BMI**