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Tai Chi for Arthritis and Fall Prevention Leader Resources

Update on Fall Prevention Program Funding and Reporting

The 2019 Administration for Community Living (ACL) grant to the Illinois Pathways to Health (ILPTH) Initiative has concluded.

If you are facilitating fall prevention workshops under other current funding received from AgeOptions, please continue to register your workshops and submit participant data through the ILPTH website.

If you are not currently funded by AgeOptions but continue to offer fall prevention workshops, we still strongly encourage you to register your workshops and submit participant data and pre/post surveys.

Why Should You Register Your Workshops?

Registering workshops and submitting data benefits everyone involved:

  • Increased visibility: AgeOptions has invested in media campaigns—including commercials, banner ads, redirecting, and geofencing—to raise public awareness of ILPTH workshops and enhance your organization’s visibility.
  • Leader support: We monitor leader certifications and will notify you when renewal is needed.
  • Access to technical assistance: Ongoing support from AgeOptions is available for your workshops.
  • Data Reports: You'll receive access to both workshop-level data and participant survey reports.
  • Support for future funding: Data collection strengthens AgeOptions' proposals for continued statewide health promotion funding.

If you would like to submit participant data but will not be entering it directly into ILPTH, email forms to joan.fox@ageoptions.org.

Course Materials for Leaders

ILPTH Program Quick Reference: Guidance on facilitating Tai Chi, including participant limits, session cutoffs, workshop lengths, and session times.

Data Collection Checklist: Instructions for collecting data from registration through to the final session.

Attendance Sheet: For tracking participant attendance and received forms.

Participant Form Tracker: For tracking participant forms. Please use if sending data to AgeOptions for data entry. 

Participant Sign-In Sheet: An optional sign-in sheet for participants (not required).

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: Includes the participant registration form, privacy policy acknowledgment & liability waiver [English] | [Spanish]
  • Participant Pre-Survey: [English] | [Spanish]

2. Electronic Forms:

3. ILPTH Portal:

Session 1 Handouts for Participants

(One form per participant)

Welcome Letter: Intro to the program and form instructions for online workshops.

Last Session Forms

Choose one of the following options:

1. Printable/Fillable Forms:

2. Electronic Forms:

3. ILPTH Portal:

Links and Other Materials

Marketing Materials