The Fertility Partners Third-Party Services Survey

Section 1

Clinic information

Please select all TFP clinics where you currently practice.

Q1. Please select all the clinics where you practice:*

Section 2

Third-party services offered

Select all third-party fertility services your clinic provides.

Q2. Which of the following third-party services does your clinic provide?*

Non-identified sperm Non-identified eggs Directed egg donation Directed sperm donation Gestational carrier services

Q2a. Approximate annual volume for non-identified sperm

Q2b. Approximate annual volume for non-identified eggs

Q2c. Approximate annual volume for directed egg donation

Q2d. Approximate annual volume for directed sperm donation

Q2e. Approximate annual volume for gestational carrier services

Q2f. Why does your clinic not offer the service(s) you left unchecked?

Q2g. In your practice, do you have a dedicated team for third party services?

Yes No

Section 3

Gamete importation

Tell us which sperm and egg banks your clinic imports from.

Q3. From which banks do you import sperm?

Q4. From which banks do you import eggs?

Section 4

Gestational carrier

How your clinic handles gestational carrier services.

Q5. Does your clinic accommodate gestational carrier services?*

Yes No

Q5a. Why not?

Q5b. Do you refer patients elsewhere for GC?

Yes No

Q5c. Where do you send your patients for GC?

Section 5

Future direction

Your preferred future direction for third-party services at your clinic.

Q6. Which of the following best reflects your clinic's desired future direction for third-party reproduction services?*

Maintain our current level of service. Expand our service offerings and/or patient volume. Reduce our service offerings and refer more patients elsewhere. Exit this area of practice and refer patients elsewhere.

Section 6

Support needs

What would help your clinic continue and/or grow third-party services.

Q7. What could TFP do to help you continue and/or grow your third-party services?

Q9. Are there operational barriers that limit your third-party capacity?

Q10. Would you like to participate in a TFP Third Party Committee?

Yes No

The Fertility Partners Third-Party Services Survey

The Fertility Partners Third-Party Services Survey

Clinic information

Third-party services offered

Gamete importation

Gestational carrier

Future direction

Support needs

Thank you

Admin — Responses