A preliminary feasibility study aboard U.S. Navy ships utilized voice interactive technology to improve medical readiness. A focus group was surveyed about reporting methods in health and environmental surveillance inspections to develop criteria for designing a lightweight, wearable computing device with voice interactive capability. The voice interactive computing device included automated user prompts, enhanced data analysis, presentation and dissemination tools in support of preventive medicine. The device was capable of storing, processing and forwarding data to a server. The prototype enabled quick, efficient and accurate environmental surveillance. In addition to reducing the time needed to complete inspections, the device supported local reporting requirements and enhanced command-level intelligence. Where possible, existing technologies were utilized in creating the device. Limitations in current voice recognition technologies created challenges for training and user interface.Rodger