diff --git a/android/gradle/libs.versions.toml b/android/gradle/libs.versions.toml
index 90702e4b7c..6e1518bb33 100644
--- a/android/gradle/libs.versions.toml
+++ b/android/gradle/libs.versions.toml
@@ -32,7 +32,9 @@ fhir-sdk-engine = "1.1.0-preview2-SNAPSHOT"
 fhir-sdk-knowledge = "0.1.0-alpha03-preview5-rc2-SNAPSHOT"
 fhir-sdk-workflow = "0.1.0-alpha04-preview10-rc1-SNAPSHOT"
 fragment-ktx = "1.8.3"
+generativeai = "0.9.0"
 glide = "4.16.0"
+googleCloudSpeech = "2.5.2"
 gradle = "8.3.2"
 gson = "2.10.1"
 hilt = "1.2.0"
@@ -128,8 +130,10 @@ fhir-sdk-common = { group = "org.smartregister", name = "common", version.ref =
 foundation = { group = "androidx.compose.foundation", name = "foundation", version.ref = "compose-ui" }
 fragment-ktx = { group = "androidx.fragment", name = "fragment-ktx", version.ref = "fragment-ktx" }
 fragment-testing = { group = "androidx.fragment", name = "fragment-testing", version.ref = "fragment-ktx" }
+generativeai = { module = "com.google.ai.client.generativeai:generativeai", version.ref = "generativeai" }
 glide = { group = "com.github.bumptech.glide", name = "glide", version.ref = "glide" }
 gms-play-services-location = { group = "com.google.android.gms", name = "play-services-location", version.ref = "playServicesLocation" }
+google-cloud-speech = { module = "com.google.cloud:google-cloud-speech", version.ref = "googleCloudSpeech" }
 gradle = { module = "com.android.tools.build:gradle", version.ref = "gradle" }
 gson = { group = "com.google.code.gson", name = "gson", version.ref = "gson" }
 hilt-compiler = { group = "androidx.hilt", name = "hilt-compiler", version.ref = "hilt" }
diff --git a/android/quest/build.gradle.kts b/android/quest/build.gradle.kts
index 6baf09f5a1..6d842e494a 100644
--- a/android/quest/build.gradle.kts
+++ b/android/quest/build.gradle.kts
@@ -489,6 +489,10 @@ dependencies {
   implementation(libs.bundles.cameraX)
   implementation(libs.log4j)
 
+  // AI dependencies
+  implementation(libs.google.cloud.speech)
+  implementation(libs.generativeai)
+
   // Annotation processors
   kapt(libs.hilt.compiler)
   kapt(libs.dagger.hilt.compiler)
diff --git a/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/GeminiModel.kt b/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/GeminiModel.kt
new file mode 100644
index 0000000000..f0fea510a9
--- /dev/null
+++ b/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/GeminiModel.kt
@@ -0,0 +1,48 @@
+/*
+ * Copyright 2021-2024 Ona Systems, Inc
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *       http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
+
+package org.smartregister.fhircore.quest.ui.speechtoform
+
+import com.google.ai.client.generativeai.GenerativeModel
+import com.google.ai.client.generativeai.type.BlockThreshold
+import com.google.ai.client.generativeai.type.HarmCategory
+import com.google.ai.client.generativeai.type.SafetySetting
+import com.google.ai.client.generativeai.type.generationConfig
+
+class GeminiModel(private val apiKey: String) {
+  // model usage
+  // https://developer.android.com/ai/google-ai-client-sdk
+  val model =
+    GenerativeModel(
+      modelName = "gemini-1.5-flash-001",
+      // todo actually add the API key
+      apiKey = "BuildConfig.apikey",
+      generationConfig =
+        generationConfig {
+          temperature = 0.15f
+          topK = 32
+          topP = 1f
+          maxOutputTokens = 4096
+        },
+      safetySettings =
+        listOf(
+          SafetySetting(HarmCategory.HARASSMENT, BlockThreshold.MEDIUM_AND_ABOVE),
+          SafetySetting(HarmCategory.HATE_SPEECH, BlockThreshold.MEDIUM_AND_ABOVE),
+          SafetySetting(HarmCategory.SEXUALLY_EXPLICIT, BlockThreshold.MEDIUM_AND_ABOVE),
+          SafetySetting(HarmCategory.DANGEROUS_CONTENT, BlockThreshold.MEDIUM_AND_ABOVE),
+        ),
+    )
+}
diff --git a/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/SpeechToForm.kt b/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/SpeechToForm.kt
new file mode 100644
index 0000000000..260014414c
--- /dev/null
+++ b/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/SpeechToForm.kt
@@ -0,0 +1,63 @@
+/*
+ * Copyright 2021-2024 Ona Systems, Inc
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *       http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
+
+package org.smartregister.fhircore.quest.ui.speechtoform
+
+import java.io.File
+import java.util.logging.Logger
+import org.hl7.fhir.r4.model.Questionnaire
+import org.hl7.fhir.r4.model.QuestionnaireResponse
+
+class SpeechToForm(
+  private val speechToText: SpeechToText,
+  private val textToForm: TextToForm,
+) {
+
+  private val logger = Logger.getLogger(SpeechToForm::class.java.name)
+
+  /**
+   * Reads an audio file, transcribes it, and generates a FHIR QuestionnaireResponse.
+   *
+   * @param audioFile The input audio file to process.
+   * @param questionnaire The FHIR Questionnaire used to generate the response.
+   * @return The generated QuestionnaireResponse, or null if the process fails.
+   */
+  suspend fun processAudioToQuestionnaireResponse(
+    audioFile: File,
+    questionnaire: Questionnaire,
+  ): QuestionnaireResponse? {
+    logger.info("Starting audio transcription process...")
+
+    // Step 1: Transcribe audio to text
+    val tempTextFile = speechToText.transcribeAudioToText(audioFile)
+    if (tempTextFile == null) {
+      logger.severe("Failed to transcribe audio.")
+      return null
+    }
+    logger.info("Transcription successful. File path: ${tempTextFile.absolutePath}")
+
+    // Step 2: Generate QuestionnaireResponse from the transcript
+    val questionnaireResponse =
+      textToForm.generateQuestionnaireResponse(tempTextFile, questionnaire)
+    if (questionnaireResponse == null) {
+      logger.severe("Failed to generate QuestionnaireResponse.")
+      return null
+    }
+
+    logger.info("QuestionnaireResponse generated successfully.")
+    return questionnaireResponse
+  }
+}
diff --git a/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/SpeechToText.kt b/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/SpeechToText.kt
new file mode 100644
index 0000000000..6a3d3760bb
--- /dev/null
+++ b/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/SpeechToText.kt
@@ -0,0 +1,75 @@
+/*
+ * Copyright 2021-2024 Ona Systems, Inc
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *       http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
+
+package org.smartregister.fhircore.quest.ui.speechtoform
+
+import com.google.cloud.speech.v1.RecognitionAudio
+import com.google.cloud.speech.v1.RecognitionConfig
+import com.google.cloud.speech.v1.RecognitionConfig.AudioEncoding
+import com.google.cloud.speech.v1.SpeechClient
+import com.google.cloud.speech.v1.SpeechRecognitionResult
+import java.io.File
+import java.util.logging.Logger
+
+class SpeechToText {
+
+  private val logger = Logger.getLogger(SpeechToText::class.java.name)
+
+  /**
+   * Transcribes an audio file to text using Google Cloud Speech-to-Text API and writes it to a
+   * temporary file.
+   *
+   * @param audioFile The audio file to be transcribed.
+   * @return The temporary file containing the transcribed text.
+   */
+  fun transcribeAudioToText(audioFile: File): File? {
+    var tempFile: File? = null
+
+    SpeechClient.create().use { speechClient ->
+      val audioBytes = audioFile.readBytes()
+
+      // Build the recognition audio
+      val recognitionAudio =
+        RecognitionAudio.newBuilder()
+          .setContent(com.google.protobuf.ByteString.copyFrom(audioBytes))
+          .build()
+
+      // Configure recognition settings
+      val config =
+        RecognitionConfig.newBuilder()
+          .setEncoding(AudioEncoding.LINEAR16)
+          .setSampleRateHertz(16000)
+          .setLanguageCode("en-US")
+          .build()
+
+      // Perform transcription
+      val response = speechClient.recognize(config, recognitionAudio)
+      val transcription =
+        response.resultsList.joinToString(" ") { result: SpeechRecognitionResult ->
+          result.alternativesList[0].transcript
+        }
+
+      logger.info("Transcription: $transcription")
+
+      // Write transcription to a temporary file
+      tempFile = File.createTempFile("transcription", ".txt")
+      tempFile?.writeText(transcription)
+
+      logger.info("Transcription written to temporary file. ")
+    }
+    return tempFile
+  }
+}
diff --git a/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/TextToForm.kt b/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/TextToForm.kt
new file mode 100644
index 0000000000..229c5f12e0
--- /dev/null
+++ b/android/quest/src/main/java/org/smartregister/fhircore/quest/ui/speechtoform/TextToForm.kt
@@ -0,0 +1,100 @@
+/*
+ * Copyright 2021-2024 Ona Systems, Inc
+ *
+ * Licensed under the Apache License, Version 2.0 (the "License");
+ * you may not use this file except in compliance with the License.
+ * You may obtain a copy of the License at
+ *
+ *       http://www.apache.org/licenses/LICENSE-2.0
+ *
+ * Unless required by applicable law or agreed to in writing, software
+ * distributed under the License is distributed on an "AS IS" BASIS,
+ * WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+ * See the License for the specific language governing permissions and
+ * limitations under the License.
+ */
+
+package org.smartregister.fhircore.quest.ui.speechtoform
+
+import ca.uhn.fhir.interceptor.model.RequestPartitionId.fromJson
+import com.google.ai.client.generativeai.GenerativeModel
+import java.io.File
+import java.util.logging.Logger
+import org.hl7.fhir.r4.model.Questionnaire
+import org.hl7.fhir.r4.model.QuestionnaireResponse
+import org.json.JSONObject
+
+class TextToForm(private val generativeModel: GenerativeModel) {
+
+  private val logger = Logger.getLogger(TextToForm::class.java.name)
+
+  /**
+   * Generates an HL7 FHIR QuestionnaireResponse from a transcript using the provided Questionnaire.
+   *
+   * @param transcriptFile The temporary file containing the transcript text.
+   * @param questionnaire The FHIR Questionnaire to base the response on.
+   * @return The generated and validated QuestionnaireResponse or null if generation fails.
+   */
+  suspend fun generateQuestionnaireResponse(
+    transcriptFile: File,
+    questionnaire: Questionnaire,
+  ): QuestionnaireResponse? {
+    val transcript = transcriptFile.readText()
+    val prompt = promptTemplate(transcript, questionnaire)
+
+    logger.info("Sending request to Gemini...")
+    val generatedText = generativeModel.generateContent(prompt).text
+
+    val questionnaireResponseJson = extractJsonBlock(generatedText) ?: return null
+
+    return try {
+      val questionnaireResponse = parseQuestionnaireResponse(questionnaireResponseJson)
+      if (validateQuestionnaireResponse(questionnaireResponse)) {
+        logger.info("QuestionnaireResponse validated successfully.")
+        questionnaireResponse
+      } else {
+        logger.warning("QuestionnaireResponse validation failed.")
+        null
+      }
+    } catch (e: Exception) {
+      logger.severe("Error generating QuestionnaireResponse: ${e.message}")
+      null
+    }
+  }
+
+  /** Builds the prompt for the Gemini model. */
+  private fun promptTemplate(transcript: String, questionnaire: Questionnaire): String {
+    return """
+      You are a scribe created to turn conversational text into structure HL7 FHIR output. Below
+      you will see the text Transcript of a conversation between a nurse and a patient within
+      <transcript> XML tags and an HL7 FHIR Questionnaire within <questionnaire> XML tags. Your job
+      is to convert the text in Transcript into a new HL7 FHIR QuestionnaireResponse as if the
+      information in Transcript had been entered directly into the FHIR Questionniare. Only output
+      the FHIR QuestionnaireResponse as JSON and nothing else.
+      <transcript>$transcript</transcript>
+      <questionnaire>$questionnaire</questionnaire>
+      """
+      .trimIndent()
+  }
+
+  /** Extracts the JSON block from the generated text. */
+  private fun extractJsonBlock(responseText: String?): String? {
+    if (responseText == null) return null
+    val start = responseText.indexOf("```json")
+    if (start == -1) return null
+    val end = responseText.indexOf("```", start + 7)
+    return if (end == -1) null else responseText.substring(start + 7, end).trim()
+  }
+
+  /** Parses the JSON string into a QuestionnaireResponse object. */
+  private fun parseQuestionnaireResponse(json: String): QuestionnaireResponse {
+    return QuestionnaireResponse().apply { fromJson(JSONObject(json).toString()) }
+  }
+
+  /** Validates the QuestionnaireResponse structure. */
+  private fun validateQuestionnaireResponse(qr: QuestionnaireResponse): Boolean {
+    // todo use SDC validation
+
+    return true
+  }
+}