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Take Charge Programs Leader Resources

These resources include workshop materials for the following programs:

  • Take Charge of Your Health (CDSMP)
  • Take Charge of Your Diabetes (DSMP)
  • Take Charge of Your Pain
  • Cancer: Thriving and Surviving

Update on CDSME Program Funding and Reporting

The 2021 Administration for Community Living (ACL) grant to the Illinois Pathways to Health (ILPTH) Initiative has concluded.

If you are facilitating CDSME 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 CDSME workshops, we 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 Take Charge, 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 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.

Session 1 Virtual Data Collection Script: A virtual version of the Session 1 data collection script.

Photo Media Release: Optional; use this form if collecting testimonials or taking pictures. Feel free to customize it for your organization.

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.

Session 1 Participant Registration Forms and Pre-Survey

Choose one of the following options:

1. Printable/Fillable Forms:

2. Electronic Forms:

3. ILPTH Portal:

Session 1 Handouts for Participants

(One form per participant)

Welcome Letter: Intro to the program and form instructions — CDSMP - DSMP - PAIN - CANCER

Workshop Overview and Homework by Session: CDSMP - DSMP - PAIN - CANCER

Menu Planning 1: For Take Charge of Your Diabetes only

Menu Planning 2: For Take Charge of Your Diabetes only

Menu Planning DSMP Charts 9 & 10: For Take Charge of Your Diabetes only

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