Parent Interview Questionnaire

IP Follow Up Spotlight

Thank you for taking the time to complete our interview questionnaire!

Parent 1 Name(Required)

First Last

Parent 2 Name (if applicable)

First Last

Email(Required)

Your location (state/country):(Required)

Please describe yourself and your partner. Is there anything you’d like to share about how you met, or what your life is like together today?(Required)

Did you research other avenues of family building? Why did you end up choosing surrogacy?(Required)

Tell us about your journey. Were there any special events or difficulties along the way?(Required)

Do you remember what you were thinking/feeling when you held your child for the first time?(Required)

Is there anything you learned along your journey that you wish you had known when you started pursuing surrogacy?(Required)

Do you have any advice for other couples/individuals who may be considering surrogacy as a way to build their own family?(Required)

Please share a testimonial about your experience with Family Source. (optional)

Do you give FSC permission to share your story/journey on our blog/social sites?(Required)

We will withhold your names. Only first initials will be used.

Yes

Do you give FSC permission to share your photos/videos?(Required)

We will withhold your names. Only first initials will be used.

Yes

We truly appreciate you sharing your story with us. Thank you again!

Photo #1

Max. file size: 512 MB.

Photo #2

Max. file size: 512 MB.

Photo #3

Max. file size: 512 MB.