Active Choices Leader Resources

Workshop material below is for CCDPH Partners only.

Upon workshop completion, email attendance sheet to

If you will NOT be entering class participant data, and participants are NOT using electronic forms, email the completed participant forms to

Course Materials for Leaders

Data Collection Checklist- Coming Soon! Instructions for data collection from registration to last session

Attendance Sheet- Excel Document- Coming Soon!

Attendance Sheet- Printable Form- Coming Soon!

Session 1 Data Collection Script- To be read aloud to participants during Session 1

Session 1 Virtual Data Collection Script- To be read aloud to participants during Session 1

Photo Media Release- This form is optional; to be used if collecting testimonials or taking pictures. Feel free to edit to add your organization's information English - Spanish


Forms for Participants

Participants can choose one of the following options when completing paperwork:

  • Complete a paper form or fillable PDF
  • Receive a link to complete an electronic form (through Microsoft Forms)
  • Register for a participant portal on the IL Pathways website and complete forms directly in the portal

Note: If you choose to you use Microsoft Forms, the surveys are submitted directly to AgeOptions. AgeOptions will complete the data entry. 

Session 1 Participant Registration Forms and Pre-Survey

Option 1:

Option 2:

Option 3:

Last Session Forms

Option 1:

Option 2:

Option 3:

  • Participant Guide for ILPTH Portal- Instructions that can be sent to participants for completing electronic forms on the ILPTH participant portal (These are the same instructions that are available above for completing Session 1 forms)


Links and Other Materials

Zoom Instructions- (Provided by Rush) For online workshops English - Spanish

Individual forms included in Participant Registration Packet- Registration Form, Privacy Policy, and Liability Waiver


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 doing so, please refer to our Canva User Guide.