GOALS must pass the tests of consent and feasibility before they can qualify as realistic goa,ls. Once we have identifieid goals, we ge,t into the busjiness of measuring progress toward them. What we need to develop in every administrative or supervisory person in a health department or agency is a "measurement" point of view. Simple things, which the staff can discuss and puzzle over freely: how to make home nursing visits leiss frequent and more effective, how to inspect X-ray machines and get doctors t,o cut down radiation exposure, how to use nonprofessional workers to replace scarce and costly professional personnel. These are the daily t,asks that require study and can be made more productive if someone will take the time and effort to scrutinize them regularly. Once these improvement techniques are learned and applied it is only natural for the health officer and his colleagueis to find themselves with an urge to go on to measuring bigger activities, doing evaluative studies on a broader, longterm biasis. Let us look at some examples of evaluative studies in the general area of our future needs.