 This project will be conducted by investigators and students of the University of Michigan Schools of Medicine, Public Health, and Information, in partnership with the Catholic University of Bolivia, San Pablo UCB-San Pablo. The over-arching aim is to conduct a longitudinal survey of health indicators in a variety of primary and ambulatory care sites within clinics associated with Universidad Católica Boliviana, including SEDES La Paz and Universidad Mayor San Andres, in La Paz and El Alto, Bolivia. The survey is based on: a the World Health Organizations Division of Disease Prevention and Controls Program on Non-Communicable Diseases NCD Surveillance Toolkit: Risk Factors for Non-Communicable Diseases, with the addition of b the 8 Item Patient Health Questionnaire PHQ-8 to screen for Depression, c the Alcohol Use Disorders Identification Test AUDIT, d the Patient Assessment of Chronic Illness Care PACIC Questionnaire, e questions developed by our research team regarding the feasibility and desirability of mobile health monitoring and self-care support and f 8 item Morisky Medication use questions. By using validated survey instruments, the investigators will be able to compare health indicators across countries and provide the participating Bolivian government agencies and universities information crucial to understanding the factors contributing to the development and maintenance of NCD services in Bolivia. Specifically, this study will provide baseline data, which does not exist to date, identifying the prevalent risk factors for NCDs and the barriers to those patients care. More generally, the investigators will gain invaluable experience regarding the feasibility of enrolling large representative samples in various outpatient sites for use in subsequent observational studies of NCD management and in randomized trials. 