Inclusion Criteria:  Present at Strong Memorial Hospital or Noyes Community Hospital Emergency Departments Age 45-75 English or Spanish speaking Capacity to consent  Exclusion Criteria:  Personal and/or family history of colorectal cancer Personal history of inflammatory bowel disease History of abdominal or pelvic radiation to treat a prior cancer Non-English and Non-Spanish speaking Inability to consent Lack of text-capable mobile phone and/or inability to use text function