Questionnaire

Become an Egg Donor with Fertility Institute of Hawaii

Become an Egg Donor with
Fertility Institute of Hawaii

1

2

3

Estimated completion time:
3-5 minutes

Thank you for your interest in becoming an egg donor! The Fertility Institute of Hawaii is seeking healthy women of all ethnicities, between the ages of 21-28 years old. Applicants must be non-smokers, drug and disease-free, college-educated or have a high school diploma/GED, able to access family medical history (on both sides), and committed to all screening appointments. 

The application process consists of two phases:

1) The Prescreen Questionnaire (complete below): This questionnaire is a short assessment that checks if you meet the basic qualifications to become an egg donor. If you meet the requirements, you will be directed to complete the full questionnaire in the next step.

2) Full Questionnaire: A slightly more detailed survey that dives into more detail on everyone's favorite topic - YOU! So, to begin, take a moment to sit back, relax, and complete the pre-screener questionnaire below:

Already started an application? Sign In


Street
Apt
City
State
Zip Code
Caucasian
Black/African American
Hispanic/Latino
Asian
American Indian/Alaska Native
East Indian
Middle Eastern/Arabic
Native Hawaiian/Pacific Islander
Mixed/Multi-Racial
Mother
Father
1

2

3

Estimated completion time:
3-5 minutes

Thank you for your interest in becoming an egg donor! The Fertility Institute of Hawaii is seeking healthy women of all ethnicities, between the ages of 21-28 years old. Applicants must be non-smokers, drug and disease-free, college-educated or have a high school diploma/GED, able to access family medical history (on both sides), and committed to all screening appointments. 

The application process consists of two phases:

1) The Prescreen Questionnaire (complete below): This questionnaire is a short assessment that checks if you meet the basic qualifications to become an egg donor. If you meet the requirements, you will be directed to complete the full questionnaire in the next step.

2) Full Questionnaire: A slightly more detailed survey that dives into more detail on everyone's favorite topic - YOU! So, to begin, take a moment to sit back, relax, and complete the pre-screener questionnaire below:

Already started an application? Sign In


1

2

3

Create your account


8 characters minimum
One special character (e.g. * or !)