A set of forms and information gathering system comprising a questionnaire check having a place to insert answers to questions that are sent to a person along with the check is provided. Once the answers to the question from the questionnaire have been inserted in the supplied area the person taking the survey can cash the check. Once the check is cashed and processed through an Automated Clearing House (ACH) the cancelled check with the answers to the questions. Once the cashed check is received by the sending party, the answers to the questionnaire by the endorsed party will also be received. The data can then be processed and reports generated for the client requesting the data.