Number of children
Please provide the age, sex, and history of any health problems for each child (e.g., "Child #1: 13, male, asthma"):
Description of children
Have you ever undergone fertility treatments to get pregnant?
If yes to fertility treatments, please explain
Have you had any C-sections?
If yes to C-sections, how many and what were the reasons
Section 6 of 6: Personal Preferences
About 3 Minutes
Multiple births
Willing to reduce multiple births
Intended parents preference
Anyone
YesNo
International intended parents
YesNo
Same sex intended parents
YesNo
Single intended parent (gay/lesbian)
YesNo