english-speaking "average-risk" patients 50 to 75 years of age;

due for crc screening based on current recommendations (i.e. no prior screening or > 1year since last fecal occult blood testing [fobt], > 3 years since last stool dna test, > 5 years since last flexible sigmoidoscopy, virtual colonoscopy or double-contrast barium enema [dcbe], or > 10 years since last colonoscopy);

under the direct care of a staff (attending) primary care provider or physician extender;

without major co-morbidities that preclude crc screening.

high-risk condition (personal history of colorectal cancer or polyps, family history of colorectal cancer or polyps involving one or more first degree relatives < 60 years of age, chronic inflammatory bowel disease);

presence of "alarm" gastrointestinal symptoms, including rectal bleeding, recent change in bowel habits, abdominal pain, unexplained weight loss and iron deficiency anemia;

comorbidities that preclude crc screening by any method;

lack of fluency in written and spoken english (since decision aid and personalized risk assessment tool will be in english only due to funding issues).