Bingocize Leader Resources

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 ChecklistInstructions for data collection from registration to last session

Attendance SheetExcel Document

Attendance Sheet- Printable Form

Session 1 Data Collection ScriptTo be read aloud to participants during Session 1

Session 1 Virtual Data Collection ScriptTo 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

Exercise Only Leader Packet

Falls Prevention Leader Packet

Nutrition Leader Packet

 


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 (The surveys through the portal are available in English only. Spanish participants can complete through the portal if their computer is set up to translate the page to Spanish)

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/mvBZruHZ55

Link to Spanish Electronic Participant Registration Packet and Pre-Survey- https://forms.office.com/r/iX7aYmnwes

Option 4:

Participant GuideInstructions that can be sent to participants for completing electronic forms on the ILPTH participant portal

Note for Spanish participants: The surveys on the portal are in English only, unless the participant has a computer that is already set up to translate the page to Spanish

Session 1 Handouts for Participants

Exercise Only Take Home Cards COMBINED

Falls Prevention Participant Packet

Falls Prevention Take Home Cards COMBINED

Nutrition Participant Packet

Nutrition Take Home Cards COMBINED

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/gZYq4wGE9H

Link to Spanish Electronic Participant Post-Survey- https://forms.office.com/r/VdEkDwa9z9

Option 4:

Participant GuideInstructions that can be sent to participants for completing electronic forms (These are the same instructions that are available above for completing Session 1 forms)

Note for Spanish participants: The surveys on the portal are in English only, unless the participant has a computer that is already set up to translate the page to Spanish

 


Links and Other Materials

Zoom Instructions- For online workshops

 


Marketing Materials

IL Pathways to Health Logo

ILPTH Evidence Based Program Flyer

Home Safety ChecklistFeel free to update the flyer with your organization's logo