STATISTICAL REPORTING
On a quarterly basis, we report all the results from our center for the Sex Selection program to Ronald Ericsson,
PhD, and his company Gametrics, Ltd. The reports only include the number of selections performed, the number
of pregnancies achieved and the reported deliveries and their gender. (Everything is kept anonymous.) Since this
information is very important, when you enter into this program please keep us informed of your progress. For your convenience, and as an added reminder, the following are quick report forms. You may print
this page, fill in appropriate information, cut the section off and send to our Livonia address.
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(cut along line & return to)
Midwest Fertility & Sex Selection Center, 20276 Middlebelt Rd., Suite #2, Livonia , MI 48152
FINAL REPORT UPDATE
NAME ________________________________________________________________PROGRAM: male / female
DATE OF DELIVERY:__________________________________________GENDER OF NEWBORN: male / female
COMMENTS: _______________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Would you like to provide us a few sentence anonymous quote that we may use in our print for positive feedback?
YES or NO
ARE YOU INTERESTED IN PARTICIPATING IN PUBLICITY INTERVIEWS (NEWSPAPER, TV, ETC.) OR TALKING TO
INQUIRING COUPLES: yes / no THANK YOU.
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(cut along line & return to address above)
STATUS UPDATE
NAME _____________________________________________________________________PROGRAM: male / female
PLEASE CHECK ONE:
_________I AM PREGNANT FROM THE SEX SELECTION PROGRAM. I WILL CONTACT THE LAB REGARDING DELIVERY.
____I AM NOT PREGNANT. TAKING A BREAK FROM THE PROGRAM BUT PLAN TO RETURN APPROXIMATELY________
_______I AM NOT PREGNANT AND WILL NOT BE RETURNING TO THE PROGRAM.
COMMENTS: ____________________________________________________________________________________
