Final answer:
Elena can choose to focus on her career or family, decide her marital status with Cam, consider living arrangements, and decide on starting the adoption process.
Step-by-step explanation:
In the story, Elena could make several different choices affecting her personal and professional life. As a compliance officer for the office of city services, one choice Elena can make is whether to continue progressing in her career or to focus on her family more intently after receiving her graduate degree, as her family predicted. Additionally, Elena and her partner, Cam, can deliberate on marital status and whether to conform to societal expectations or maintain their commitment without marriage. The couple could also decide between dwelling in a rental unit or investing in a condo downtown. Moreover, the most significant choice they face pertains to expanding their family - deciding whether to start the adoption process or consider other options for parenthood.