Sign up for MOCHA Programs

1. How did you hear about MOCHA? (Check all that apply)
2. When was the last time you had the following health check-ups?
Check-up Type Never Less than one year Less than one month
a. Blood pressure
b. Prostate exam
c. Cholesterol
d. Eye exam
e. Colonoscopy
3. What current health concerns do you have? (Check all that apply)
4. What aspect of MOCHA interests you the most? (Check all that apply)