The recent availability of inexpensive document scanners and optical character recognition technology has created the ability to process surveys in large numbers with a minimum of operator time. Programs, which allow computer entry of such scanned questionnaire results directly into PC based relational databases, have further made it possible to quickly collect and analyze significant amounts of information. We have created an internal capability to easily generate survey data and conduct surveillance across a number of medical practice sites within a managed care/practice management organization. Patient satisfaction surveys, referring physician surveys and a variety of other evidence gathering tools have been deployed.