How long have you been trying to get pregnant?
Less than 6 months   6-12 Months
More than 12 months

Which doctor(s) have you consulted about Fertility issues?
None   OB/GYN   Fertility Specialist

Has a Fertility Specialist indicated you need IVF?
Yes   No

Are you considering donor eggs?
Yes   No

Are you interested in help financing your Fertility Treatment?
Yes   No

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