You can always press Enter⏎ to continue
Monterey CHI - English
Language
  • English (US)
  • Spanish (Latin America)
  • 1
    Question 1 of 9 You must be at least 18 years old to take part in this program.
    Press
    Enter
  • 2
    Question 2 of 9 Your genes can make a difference.
    Press
    Enter
  • 3
    This is defined as high blood sugar during pregnancy.
    Press
    Enter
  • 4
    The HabitNu program is not recommended during pregnancy.
    Press
    Enter
  • 5
    Question 3 of 9
    Press
    Enter
  • 6
    Question 4 of 9
    Press
    Enter
  • 7
    Question 5 of 9 Having high blood pressure contributes to your overall risk for type 2 diabetes.
    Press
    Enter
  • 8
    Question 6 of 9
    Press
    Enter
  • 9
    Question 7 of 9 People of certain racial and ethnic groups are more likely to develop type 2 diabetes than others. Choose all that apply
    Press
    Enter
  • 10
    Question 8 of 9 Please use whole numbers here, do not use a decimal point in these fields.
    Press
    Enter
  • 11
    Question 9 of 9
    Press
    Enter
  • 12
    Question 9 of 9
    Press
    Enter
  • 13
    Question 9 of 9
    Press
    Enter
  • 14
    Question 9 of 9
    Press
    Enter
  • 15
    Question 9 of 9
    Press
    Enter
  • 16
    Question 9 of 9
    Press
    Enter
  • 17
    Question 9 of 9
    Press
    Enter
  • 18
    Question 9 of 9
    Press
    Enter
  • 19
    Question 9 of 9
    Press
    Enter
  • 20
    Question 9 of 9
    Press
    Enter
  • 21
    Question 9 of 9
    Press
    Enter
  • 22
    Question 9 of 9
    Press
    Enter
  • 23
    Question 9 of 9
    Press
    Enter
  • 24
    Question 9 of 9
    Press
    Enter
  • 25
    Question 9 of 9
    Press
    Enter
  • 26
    Question 9 of 9
    Press
    Enter
  • 27
    Question 9 of 9
    Press
    Enter
  • 28
    Question 9 of 9
    Press
    Enter
  • 29
    Question 9 of 9
    Press
    Enter
  • 30
    Press
    Enter
  • 31
    Press
    Enter
  • 32
    Press
    Enter
  • 33
    Press
    Enter
  • 34

    Your risk is low for type 2 diabetes

    With education and lifestyle changes, diabetes can be prevented or delayed and some of its more serious complications avoided.

    Community Health Innovations is leading the effort to reduce diabetes in Monterey County by offering personalized programs that help support everyday healthy living.

    For more information, please call us at (831) 644-7490.

    Press
    Enter
  • 35

    You are eligible to participate!

    With education and lifestyle changes, diabetes can be prevented or delayed and some of its more serious complications avoided.

    Community Health Innovations is leading the effort to reduce diabetes in Monterey County by offering personalized programs that help support everyday healthy living.

    For more information, please call us at (831) 644-7490.

    Press
    Enter
  • 36

    Let's get registered.

    In the next few pages we will gather the contact information necessary to register you in the program, as well as ask a few questions about healthcare insurance.

    First we'll ask your consent to collect and protect your private information. This is the standard HIPAA Privacy form you typically sign when you visit the doctor.

    Press
    Enter
  • 37
    You must give your consent to participate in the HabitNu Diabetes Prevention Program.  If you do not consent, please navigate away from this page now.
    Press
    Enter
  • 38
    Press
    Enter
  • 39
    Press
    Enter
  • 40
    Press
    Enter
  • 41
    Please Select
    • Please Select
    • Alabama
    • Alaska
    • Arizona
    • Arkansas
    • California
    • Colorado
    • Connecticut
    • Delaware
    • District of Columbia
    • Florida
    • Georgia
    • Hawaii
    • Idaho
    • Illinois
    • Indiana
    • Iowa
    • Kansas
    • Kentucky
    • Louisiana
    • Maine
    • Maryland
    • Massachusetts
    • Michigan
    • Minnesota
    • Mississippi
    • Missouri
    • Montana
    • Nebraska
    • Nevada
    • New Hampshire
    • New Jersey
    • New Mexico
    • New York
    • North Carolina
    • North Dakota
    • Ohio
    • Oklahoma
    • Oregon
    • Pennsylvania
    • Puerto Rico
    • Rhode Island
    • South Carolina
    • South Dakota
    • Tennessee
    • Texas
    • Utah
    • Vermont
    • Virgin Islands
    • Virginia
    • Washington
    • West Virginia
    • Wisconsin
    • Wyoming
    Please Select
    • Please Select
    • United States
    • Afghanistan
    • Albania
    • Algeria
    • American Samoa
    • Andorra
    • Angola
    • Anguilla
    • Antigua and Barbuda
    • Argentina
    • Armenia
    • Aruba
    • Australia
    • Austria
    • Azerbaijan
    • The Bahamas
    • Bahrain
    • Bangladesh
    • Barbados
    • Belarus
    • Belgium
    • Belize
    • Benin
    • Bermuda
    • Bhutan
    • Bolivia
    • Bosnia and Herzegovina
    • Botswana
    • Brazil
    • Brunei
    • Bulgaria
    • Burkina Faso
    • Burundi
    • Cambodia
    • Cameroon
    • Canada
    • Cape Verde
    • Cayman Islands
    • Central African Republic
    • Chad
    • Chile
    • China
    • Christmas Island
    • Cocos (Keeling) Islands
    • Colombia
    • Comoros
    • Congo
    • Cook Islands
    • Costa Rica
    • Cote d'Ivoire
    • Croatia
    • Cuba
    • Curacao
    • Cyprus
    • Czech Republic
    • Democratic Republic of the Congo
    • Denmark
    • Djibouti
    • Dominica
    • Dominican Republic
    • Ecuador
    • Egypt
    • El Salvador
    • Equatorial Guinea
    • Eritrea
    • Estonia
    • Ethiopia
    • Falkland Islands
    • Faroe Islands
    • Fiji
    • Finland
    • France
    • French Polynesia
    • Gabon
    • The Gambia
    • Georgia
    • Germany
    • Ghana
    • Gibraltar
    • Greece
    • Greenland
    • Grenada
    • Guadeloupe
    • Guam
    • Guatemala
    • Guernsey
    • Guinea
    • Guinea-Bissau
    • Guyana
    • Haiti
    • Honduras
    • Hong Kong
    • Hungary
    • Iceland
    • India
    • Indonesia
    • Iran
    • Iraq
    • Ireland
    • Israel
    • Italy
    • Jamaica
    • Japan
    • Jersey
    • Jordan
    • Kazakhstan
    • Kenya
    • Kiribati
    • North Korea
    • South Korea
    • Kosovo
    • Kuwait
    • Kyrgyzstan
    • Laos
    • Latvia
    • Lebanon
    • Lesotho
    • Liberia
    • Libya
    • Liechtenstein
    • Lithuania
    • Luxembourg
    • Macau
    • Macedonia
    • Madagascar
    • Malawi
    • Malaysia
    • Maldives
    • Mali
    • Malta
    • Marshall Islands
    • Martinique
    • Mauritania
    • Mauritius
    • Mayotte
    • Mexico
    • Micronesia
    • Moldova
    • Monaco
    • Mongolia
    • Montenegro
    • Montserrat
    • Morocco
    • Mozambique
    • Myanmar
    • Nagorno-Karabakh
    • Namibia
    • Nauru
    • Nepal
    • Netherlands
    • Netherlands Antilles
    • New Caledonia
    • New Zealand
    • Nicaragua
    • Niger
    • Nigeria
    • Niue
    • Norfolk Island
    • Turkish Republic of Northern Cyprus
    • Northern Mariana
    • Norway
    • Oman
    • Pakistan
    • Palau
    • Palestine
    • Panama
    • Papua New Guinea
    • Paraguay
    • Peru
    • Philippines
    • Pitcairn Islands
    • Poland
    • Portugal
    • Puerto Rico
    • Qatar
    • Republic of the Congo
    • Romania
    • Russia
    • Rwanda
    • Saint Barthelemy
    • Saint Helena
    • Saint Kitts and Nevis
    • Saint Lucia
    • Saint Martin
    • Saint Pierre and Miquelon
    • Saint Vincent and the Grenadines
    • Samoa
    • San Marino
    • Sao Tome and Principe
    • Saudi Arabia
    • Senegal
    • Serbia
    • Seychelles
    • Sierra Leone
    • Singapore
    • Slovakia
    • Slovenia
    • Solomon Islands
    • Somalia
    • Somaliland
    • South Africa
    • South Ossetia
    • South Sudan
    • Spain
    • Sri Lanka
    • Sudan
    • Suriname
    • Svalbard
    • eSwatini
    • Sweden
    • Switzerland
    • Syria
    • Taiwan
    • Tajikistan
    • Tanzania
    • Thailand
    • Timor-Leste
    • Togo
    • Tokelau
    • Tonga
    • Transnistria Pridnestrovie
    • Trinidad and Tobago
    • Tristan da Cunha
    • Tunisia
    • Turkey
    • Turkmenistan
    • Turks and Caicos Islands
    • Tuvalu
    • Uganda
    • Ukraine
    • United Arab Emirates
    • United Kingdom
    • Uruguay
    • Uzbekistan
    • Vanuatu
    • Vatican City
    • Venezuela
    • Vietnam
    • British Virgin Islands
    • Isle of Man
    • US Virgin Islands
    • Wallis and Futuna
    • Western Sahara
    • Yemen
    • Zambia
    • Zimbabwe
    • Other
    Press
    Enter
  • 42
    Pick a Date
    Press
    Enter
  • 43
    HabitNu is a covered benefit for Medicare, Medicare Advantage, and some commercial insurance plans.
    Press
    Enter
  • 44

    No insurance? We've got you covered. 

    Community Health Innovations has scholarships available for qualified individuals. 

    Please call us at (831) 644-7490 for more information.

    Press
    Enter
  • 45
    HabitNu is a fully covered medical benefit for Medicare members.  Your Medicare Number is shown on the front of your Medicare card. This field is required to check your eligibility.
    Press
    Enter
  • 46
    HabitNu is a covered medical benefit for Medicare Advantage members and for some commercial insurance plans. In the questions to follow, provide as much information as you can (you can find this information on your insurance card).
    Press
    Enter
  • 47
    The plan name can be hard to find on your insurance card. Sometimes the plan is labelled "Medical Network", or "Health Plan", or is the name of your company. If you can't find it, leave this field blank.
    Press
    Enter
  • 48
    This may also be called "Plan", "Plan Number" or abbreviated as "GRP". If you can’t find this, leave it blank.
    Press
    Enter
  • 49
    This may be called "Policy Number" or just "ID". If you can’t find this, leave it blank.
    Press
    Enter
  • 50
    Your insurance card should have this phone number on it, often located on the back of the card.  if you don't have it, just leave this field blank.
    Press
    Enter
  • 51

    You're all done! You have begun your journey to better health!

    Community Health Innovations will contact you within 72 hours to schedule your classes.

    For more information call (831) 644-7490.

    Welcome to HabitNu.

    Press
    Enter
  • Should be Empty:
hipaa badge
Question Label
1 of 51See AllGo Back
close