Active Choices Leader Resources
Upon workshop completion, please email the attendance sheet to joan.fox@ageoptions.org.
If you will not be entering participant data directly and the participants are not using electronic forms, email forms to joan.fox@ageoptions.org.
Course Materials for Leaders
Data Collection Checklist: Instructions for collecting data from registration through to the final session.
Attendance Sheet: For tracking participant attendance and received forms.
Session 1 Data Collection Script: A script to read aloud to participants during Session 1 [English] | [Spanish]
Session 1 Virtual Data Collection Script: A virtual version of the Session 1 data collection script [English] | [Spanish]
Photo Media Release: Optional; use this form if collecting testimonials or taking pictures. Feel free to customize for your organization [English] | [Spanish]
Forms for Participants
Participants have several options for completing their paperwork:
- Paper Forms: Complete a traditional paper form or a fillable PDF.
- Electronic Forms: Receive a link to complete an electronic form through Microsoft Forms.
- ILPTH Portal: Register for the IL Pathways website participant portal and complete forms directly in the portal.
Note: If using Microsoft Forms, surveys will be submitted directly to AgeOptions, which will handle the data entry.
Note for participants using languages other than English: The surveys on the portal are available in English only, unless the participant’s device is set up to auto-translate.
Session 1 Participant Registration Forms and Pre-Survey
Choose one of the following options:
1. Printable/Fillable Forms:
- Participant Registration Packet: [English] | [Spanish]
- Participant Pre-Survey: [English] | [Spanish] | [Arabic] | [Gujarati] | [Hindi] | [Urdu]
2. Electronic Forms:
- Link to Electronic Registration Packet & Pre-Survey: Email info@ilpathwaystohealth.org to request a survey link.
3. ILPTH Portal:
- Participant Guide for ILPTH Portal: Instructions for submitting Session 1 & Last Session forms in the participant portal.
Last Session Forms
Choose one of the following options:
1. Printable/Fillable Forms:
2. Electronic Forms:
- Link to Electronic Post Survey: Email info@ilpathwaystohealth.org to request a survey link.
3. ILPTH Portal:
- Participant Guide for ILPTH Portal: Instructions for submitting Session 1 & Last Session forms in the participant portal.
Marketing Materials
- IL Pathways to Health Logo
- ILPTH Outreach Toolkit Template: This Toolkit includes templates for flyers, posters, social media posts, etc. You will need to have a Canva account to access the template and create a COPY to make edits (DO NOT EDIT THE TEMPLATE). If you need help, refer to our ILPTH Outreach Toolkit User Guide.