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What's your name?

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What's your phone number?

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When do you want to start your path to parenthood?

πŸ₯ Very soon! I'm with an IVF center and I want to use Orchid
πŸ‘€ Soon, Orchid caught my eye
πŸ•΅οΈβ€β™‚οΈ A while, just exploring my options!
πŸ“¬ Not anytime soon but I would love to hear updates from Orchid
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Which IVF clinic are you working with?

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What are you most interested in learning about?

🐣 Fertility
πŸ”¬ Embryo Screening
🧬 Genetic Testing in General
✨ Unsure - Everything?
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What's got you excited about Orchid's embryo screening?

🧠 Neurodevelopmental Disorders
πŸ‘Ά Birth Defects
🧬 Hereditary Cancer
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What's the best way to contact you?

πŸ“ž Phone
πŸ’¬ Text
πŸ“§ Email
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Would you like to be added to our patient newsletter?

πŸ‘ Yes, please
πŸ‘Ž No, thanks
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What state are you located in?