1015 Pikes Peak Av, Suite 100
Colorado Springs, CO 80903
719-473-2424 Voice
719-227-1475 FAX
1-866-363-8231 In State Only

Patient Questionnaire
Women's Associates, PC

Patient Questionnaire

Meeting our patients needs

 
Are you currently a patient of Women's Associates? YES  NO
Does our current location on Pikes Peak Avenue meet your needs? YES  NO  N/A
Would a location east in Colorado Springs meet your needs? YES  NO  N/A
Would a location north in Colorado Springs meet your needs? YES  NO  N/A
Do our hours of operation meet your needs? (Monday-Thursday 8AM-5PM, Friday 8AM-12PM) YES  NO  N/A
Would early morning appointments Monday through Friday better meet your needs? YES  NO  N/A
Would late evening appointments Monday through Friday better meet your needs? YES  NO  N/A
Would Saturday morning appointments better meet your needs? YES  NO  N/A
 
On a cash pay basis, would you be interested in any of the following services?
Botox YES  NO  N/A Microdermabrasion YES  NO  N/A
Laser hair removal YES  NO  N/A Sex Counseling YES  NO  N/A
Massage Therapy YES  NO  N/A Maternity boutique YES  NO  N/A
Esthetician YES  NO  N/A Dietitian/Nutritionist YES  NO  N/A
 

Other Services?


Are there any other changes our practice can make to better serve your needs?


Again thank you from Women’s Associates, where we serve our patients by providing compassionate, sensitive and skillful Obstetrical and Gynecological care to our patients

2007 Women's Associates, P.C.