Active Choices Leader Resources
Workshop material below is for CCDPH Partners only.
Upon workshop completion, email attendance sheet to joan.fox@ageoptions.org
If you will NOT be entering class participant data, and participants are NOT using electronic forms, email the completed participant forms to joan.fox@ageotions.org
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
Forms for Participants
Participants can choose one of the following options when completing paperwork:
- Complete a paper form
- Receive a link for a 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 and 2:
Printable/Fillable Participant Registration Packet- Includes registration form, privacy policy, and liability waiver)
- Click here for Spanish Participant Registration Packet
Printable/Fillable Participant Pre-Survey
- Click here for Spanish Printable/Fillable Participant Pre-Survey
- Click here for printable pre surveys in the following languages: Arabic - Gujarati - Hindi - Urdu
Option 3:
Link to Electronic Participant Registration Packet and Pre-Survey- https://forms.office.com/r/bCkgsVaDSu
Link to Spanish Electronic Participant Registration Packet and Pre-Survey- https://forms.office.com/r/pmq91BwFT5
Option 4:
Participant Guide for ILPTH Portal- Instructions that can be sent to participants for completing electronic forms on the ILPTH participant portal
Last Session Forms
Option 1 and 2:
Printable/Fillable Participant Post-Survey
- Click here for Spanish Printable/Fillable Participant Post-Survey
- Click here for printable post surveys in the following languages: Arabic - Gujarati - Hindi - Urdu
Option 3:
Link to Electronic Participant Post Survey- https://forms.office.com/r/FBjkrsvj9v
Link to Spanish Electronic Participant Post Survey- https://forms.office.com/r/hcinzsjcDv
Option 4:
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
- Click here for Zoom Instructions in Spanish