Your Story

We would like to know a bit about who is interested in reading our book.  Knowing a bit about who you are can help us determine how to make our book most responsive to your needs.  We hope you will be willing to share some information with us.

Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL

Please identify and describe yourself:

Name
Date of Birth
Sex Male Female

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Select any of the following options that apply:

I purchased the first edition (1993) of this book
I did not purchase the first edition (1993)
I read the first edition (1993) of this book
I did not read the first edition (1993)

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Please share with us your infertility story.


Please tell us about your insurance coverage.


What (if any) decisions about infertility have you found difficult to make?


Anything else you'd like to share with us?

Thank you for sharing this information with us.  Please email us if we can be of any help to you.

Helane and Yakov

Helane Rosenberg and Yakov Epstein
Copyright © 1999 [Helane.com]. All rights reserved.
Revised: June 02, 2003