This paper describes the introduction of the Outcome Questionnaire-45 (OQ-45) as a routine outcome measure within an Australian University Counselling Service, and outlines the rationale, implementation and practical considerations involved in its administration. The use of accompanying software (OQ-Analyst) to collect and analyse data electronically, and to generate instant feedback reports to counsellors is also explained. Preliminary outcomes in terms of feasibility and acceptability, clinical status of presenting clients, effectiveness of counselling and feedback to counsellors will be discussed.