The report emphasizes the evaluation of health-related utilities and services which readily lend themselves to long-range planning, and deals primarily with water, sewerage, refuse, air pollution and housing programs. Health department inspectional services are covered only in the organizational sense, and reference is made to existing rating schedules for several of these vital services. The procedures described in the guide can be applied to an area as small as a town or as large as a metropolitan area, and are particularly suited for use in a county with several incorporated places and operating agencies.