Questionnaire

You're one step closer to becoming a Cofertility Split Member

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Estimated completion time:
3-5 minutes

You’re one step closer to free egg freezing! 

Based on your quiz, you’re eligible to apply for our Split program and can now begin the rest of your application! 

Please note, we cannot confirm your eligibility for our Split program — where you can freeze your eggs for free when you give half to another family who needs them — until this form is complete. No need to finish it in one sitting; just make sure to save your progress before logging out.

If you have any questions at all, please don’t hesitate to email us at support@cofertility.com. We’re here to help.

Not interested in Split? Consider our Keep program, where you can self-fund your egg freezing journey and keep all of the eggs retrieved for your own future use. Average costs are $11K-$15K depending on your location, plus storage fees, and are typically not covered by traditional health insurance. Keep members get access to discounted storage options as well as access to our members-only community. Email alex@cofertility.com to get started.
As described in our Privacy Statement, we use third parties to help provide our service, including EDC. Please take a look at their Privacy Policy for details on their data practices.

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