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)

Printable/Fillable Participant Pre-Survey

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

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

 


Marketing Materials

IL Pathways to Health Logo