Congratulations – You Qualify!?

We're thrilled to let you know that based on your answers, you meet the basic requirements to become a surrogate with Yunda Surrogacy. That's a beautiful first step toward helping someone build their family — and we're so honored to walk this journey with you. The next step is to complete a more detailed questionnaire about your background, health history, and preferences. This helps us understand you better and ensures that we can match you with intended parents who are the right fit — emotionally, ethically, and practically.

Professional Surrogacy Agency in California

Contact Information

Last Name *

First Name *

Date of Birth *

Email Address *

Cell Phone *

I consent to receive text messages at this number

City *

Country *

State / Province *

Zip Code *

Height（Feet） *

ftin

Weight（Pound） *

lbs

BMI *

kg/m²

Automatically calculated based on height and weight

Ethnicity *

Number of Surrogacy Experiences *

U.S. Citizenship Status *

About you

Pregnancy & Health History

Pregnancy History

Serious Pregnancy Complications *

Yes

Current form of Birth Control *

Closest Hospital *

Closest NICU III *

Gestational Surrogacy Interview

Who will support you emotionally throughout and after your Surrogacy experience? *

What languages do you speak? *

What drives you to want to be a Gestational Surrogate? *

Please tell us about yourself! *

How much contact would you like with your Intended Parents throughout the pregnancy? *

Are you willing to sign a HIPAA release form for the Intended Parents and Agency to be allowed to receive medical information pertaining to the baby(ies)? *

How would you feel about carrying twins? *

If doctors recommend reducing the number of fetuses, would you be willing to follow the Intended Parents’ wishes based on medical recommendations? *

If doctors approve termination due to serious health conditions, would you be willing to follow the Intended Parents’ wishes and terminate the pregnancy based on medical recommendations? *

Upload Photos *

+Click or drag images here to upload (minimum 2)

Final Consent

I consent to sharing my personal and sensitive information with Yunda Surrogacy, and receiving future communication via text, email, phone, or post according to the Privacy Policy.

Your information will be kept strictly confidential and will not be shared or sold to any third parties.

Surrogates Application

Congratulations – You Qualify!