Leader Resources –
A Matter of Balance
How to use this page:
Resources are listed by document title. Some materials are available in both English and Spanish—select the appropriate language link when provided. These materials are intended for trained A Matter of Balance program leaders.
Leader Materials
ILPTH Program Quick Reference: Guidance on facilitating A Matter of Balance, including participant limits, session cutoffs, workshop lengths, and session times.
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Data Collection Checklist: Instructions for collecting data from registration through to the final session.
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Attendance Sheet: For tracking participant attendance and received forms.
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Participant Form Tracker: For tracking participant forms. Please use if sending data to AgeOptions for data entry.
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Participant Sign-In Sheet: An optional sign-in sheet for participants (not required).
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Session 1 Data Collection Script: A script to read aloud to participants during Session 1 to explaining which forms are collected and why [English] | [Spanish]
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Session 1 Virtual Data Collection Script: A virtual version of the Session 1 data collection script [English] | [Spanish]
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Photo Media Release: Optional; use this form if collecting testimonials or taking pictures. Feel free to customize it for your organization [English] | [Spanish]
Participant Materials
Session 1 Participant Registration Forms & Pre-Survey
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Participant Registration Packet: Includes the participant registration form, privacy policy acknowledgment & liability waiver [English] | [Spanish]
Participant Pre-Survey: [English] | [Spanish]
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Session 1 Handouts for Participants
(One form per participant)
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Welcome Letter: Intro to the program and form instructions for online workshops [English] | [Spanish]
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PAR-Q and Participant Agreement: [English] | [Spanish]
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MOB Participant Workbook: [English] | [Spanish]
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MOB-V Participant Workbook: [English] | [Spanish]​
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Last Session Forms​
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Marketing Materials
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ILPTH Evidence Based Program Flyer
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Home Safety Checklist: Feel free to update the flyer with your organization's logo
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ILPTH Outreach Toolkit Template: This Toolkit includes templates for flyers, posters, social media posts, etc. You will need a Canva account to access the template and create a COPY to make edits (DO NOT EDIT THE TEMPLATE). If you need help, refer to the ILPTH Outreach Toolkit User Guide.