Abstract: A system and method relates to the field of building and administrating a patient management and health care management database containing data relevant to the clinical care of patients, to the management of the practices to which the patients belong, and to outcomes of that health care and practice management. The disclosed system encompasses (i) designing and administering paper and pen and hand held computer survey instruments; (ii) administering and collecting completed surveys (iii) building and managing a database of information collected from the surveys; (iv) analyzing data collected from the surveys; (v) and providing clinical practices with summary information. Summary information may be used to improve patient care, health outcomes, and the management of physician practices.