POST insurance/application/form/surrogateQuestionnaire

Request Information

URI Parameters

None.

Body Parameters

Name	Type	Additional information
ApplicationId	globally unique identifier	None.
DocumentDate	date	None.
HasSurrogateInitials	boolean	None.
UsCitizen	boolean	None.
Weight	decimal number	None.
HeightFeet	integer	None.
HeightInches	integer	None.
Bmi	decimal number	None.
MedicalExaminationDate	date	None.
NumberOfPreviousPregnancies	integer	None.
CurrentlyPregnant	boolean	None.
CurrentPregnancyExpectedDueDate	date	None.
MostRecentDeliveryDate	date	None.
PriorDeliveryDates	string	None.
HealthQuestionAnswerDtos	Collection of SurrogateHealthQuestionAnswerDto	None.
AdditionalMedicalNotes	string	None.
QuestionnaireSigned	boolean	None.
TermsSigned	boolean	None.
ReleaseSigned	boolean	None.
SignatureDate	date	None.

Request Formats

application/json, text/json

Sample:

{
  "ApplicationId": "5b82659b-a295-4056-b03d-31c6b6f745fc",
  "DocumentDate": "2026-06-03T07:53:34.4605557-04:00",
  "HasSurrogateInitials": true,
  "UsCitizen": true,
  "Weight": 1.0,
  "HeightFeet": 1,
  "HeightInches": 1,
  "Bmi": 1.0,
  "MedicalExaminationDate": "2026-06-03T07:53:34.4605557-04:00",
  "NumberOfPreviousPregnancies": 1,
  "CurrentlyPregnant": true,
  "CurrentPregnancyExpectedDueDate": "2026-06-03T07:53:34.4605557-04:00",
  "MostRecentDeliveryDate": "2026-06-03T07:53:34.4605557-04:00",
  "PriorDeliveryDates": "sample string 5",
  "HealthQuestionAnswerDtos": [
    {
      "QuestionId": 1,
      "Answer": true,
      "AnswerResponse": "sample string 3",
      "QuestionText": "sample string 4",
      "IsYesNo": true,
      "SubQuestionText": "sample string 6",
      "IsOpenAnswer": true
    },
    {
      "QuestionId": 1,
      "Answer": true,
      "AnswerResponse": "sample string 3",
      "QuestionText": "sample string 4",
      "IsYesNo": true,
      "SubQuestionText": "sample string 6",
      "IsOpenAnswer": true
    }
  ],
  "AdditionalMedicalNotes": "sample string 6",
  "QuestionnaireSigned": true,
  "TermsSigned": true,
  "ReleaseSigned": true,
  "SignatureDate": "2026-06-03T07:53:34.4605557-04:00"
}

application/x-www-form-urlencoded

Sample:

Sample not available.

Response Information

Resource Description

None.