Walk With Ease Leader Resources

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

Note: If participants complete surveys via Microsoft Forms, they will be submitted directly to AgeOptions, who will handle data entry.

Course Materials for Leaders

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 [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:

2. Electronic Forms:

  • Link to Electronic Registration Packet & Pre-Survey: Email info@ilpathwaystohealth.org to request a survey link for your specific workshop.

3. ILPTH Portal:


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