Confidential Survey

We thank you for your feedback and will keep all personal data confidential. Our organization is actively seeking funding to further our mission and impact. Data and evidence-based practice is crucial to our mission. By providing us your feedback we can better demonstrate the need for our charity and our commitment to assisting those struggling with out-of-pocket fertility costs. Below are the descriptions of the grants we will be providing, to be referenced as needed. The survey consists of 16 questions and are tailored to collect data concerning the individual experiencing infertility, fertility treatments, and/or fertility preservation as well as their partner/spouse if/when applicable. We also welcome any additional information that is useful to the overall mission.Step 1 of 2
Fertility Treatments/Adoption Fees Grant: Contributions for this program will be primarily used to provide funds to individuals for the larger costs associated with fertility treatments not covered by insurance. These costs can include in vitro fertilization (IVF) cycles, and other fertility treatments and associated costs, and in cases where individuals are unable to conceive a child, adoption fees.
Fertility Preservation Grant: The contributions for this program will be primarily used to provide funds to individuals for fertility preservation, when medically necessary and not covered by insurance, including medications and egg, sperm, embryo, and reproductive tissues freezing/storing/monitoring/retrieval.
Fertility Emergency Fund Microgrant: Contributions for this program will be primarily used to provide emergency funds to individuals with an immediate need for time sensitive fertility medications, medical equipment, tests, and other fertility treatments not covered by insurance. This program will be monitored and approved daily to provide immediate funds.
Fertility Debt Assistance Grant: Contributions for this program will be primarily used to assist with debt associated with out-of-pocket fertility costs. Including current or past debt specifically related to medical infertility treatments and costs.