Facilitator Resources

Below please find several of the resources that will be useful to you as a facilitator.

If you have any questions, please contact your program coordinator.

If you're not sure who your program coordinator is,

please contact the Health Education Team at AgeOptions at 708-383-0258

 
 
 

Take Charge of Your Health
Workshop Materials

Please note: we are no longer using the workshop cover sheet form. please print the wufoo registration page Instead. Contact your PRogram Coordinator if you have questions about this.

English

For facilitators:

(One copy needed, unless otherwise noted)

Data Collection Checklist

Attendance Sheet

Evaluation Script 

Workshop 101

For participants:

(One copy PER PARTICIPANT needed, unless otherwise noted)

Session 1:

Welcome Letter/Consent Form Health*
2 copies per participant, one for them to keep and one for them to turn in

Participant PRE Survey- Health

Session 6:

Participant POST Survey- Health

Tomando Control de su Salud

(Spanish forms for Take Charge of Your Health)

Formas usados solo por los facilitadores:

(Descargue e imprima solo una copia a no ser que especifique lo contrario)

Instrucciones para Recolección de Datos

Lista de Asistencia

Dialogo para Explicar Evaluaciones

Introducción a los Talleres

Formas que se reparten con los participantes:

(Descargue e imprima solo una copia para cada participante a no ser que especifique lo contrario)

Sesión 1:

Carta de Bienvenida/Forma de Consentimiento Salud
2 copias para cada participante, una copia será entregado a los facilitadores, la otra se puede llevar a casa

Evaluación Previa al Taller – Salud

Sesión 6:

Evaluación Posterior al Taller - Salud

Opcional: 

(Instrucciones para el uso de este documento se puede encontrar en Instrucciones para Recolección de Datos)

Autorización de Prensa

 

Take Charge of Your Diabetes
Workshop Materials 

Please note: we are no longer using the workshop cover sheet form. please print the wufoo registration page Instead. Contact your PRogram Coordinator if you have questions about this.

English

For facilitators:

(One copy needed, unless otherwise noted)

Data Collection Checklist

Attendance Sheet

Evaluation Script

Workshop 101

For participants:

(One copy PER PARTICIPANT needed, unless otherwise noted)

Session 1:

Welcome Letter/Consent Form Diabetes*
2 copies per participant, one for them to keep and one for them to turn in

Participant Pre Survey- Diabetes

Everyone with Diabetes Counts- PRE

Everyone with Diabetes Counts Registration Form

Telligen Medical Release Form

Session 6:

Participant Post Survey- Diabetes

Everyone with Diabetes Counts- POST

Tomando Control de su Diabetes

(Spanish forms for Take Charge of Your Diabetes)

Formas usados solo por los facilitadores:

(Descargue e imprima solo una copia a no ser que especifique lo contrario)

Instrucciones para Recolección de Datos

Lista de Asistencia

Dialogo para Explicar Evaluaciones

Introducción a los Talleres

Formas que se reparten con los participantes:

(Descargue e imprima solo una copia para cada participante a no ser que especifique lo contrario)

Sesión 1:

Carta de Bienvenida/Forma de Consentimiento Diabetes
2 copias para cada participante, una copia será entregado a los facilitadores, la otra se puede llevar a casa

Evaluación Previa al Taller - Diabetes

Todas las Personas con Diabetes Importan- Antes

Todas las Personas con Diabetes Importan Formulario de Registro

Formulario de Autorización de Datos Médicos de Telligen

Sesión 6:

Evaluación Posterior al Taller - Diabetes

Todas las Personas con Diabetes Importan- Después

Opcional: 

(Instrucciones para el uso de este documento se puede encontrar en Instrucciones para Recolección de Datos)

Autorización de Prensa

Korean

Session 1

Everyone with Diabetes Counts- PRE

Everyone with Diabetes Counts Registration Form

Telligen Medical Release Form

Session 6

Everyone with Diabetes Counts- POST

Chinese

Session 1

Everyone with Diabetes Counts- PRE

Everyone with Diabetes Counts Registration Form

Telligen Medical Release Form

Session 6

Everyone with Diabetes Counts- POST

 

Other Useful Materials

Brief Body Scan (Audio file will download when you click it!)
Please do not share this with participants. If you would like to use a computer, phone, or other system to play the body scan in Session 3, you can use this file. Reminder to test it beforehand so that you know if participants will be able to hear it.

Photo Media Release- Feel free to edit to add your organization's information

Autorización de Prensa - Spanish version of Photo Media Release

Receipt template for books/CDs

Facilitator Crisis Intervention Plan- Provides general guidance about what to do in crisis situations.    

 

Frequently Asked Questions

HOW MANY PEOPLE HAVE TO BE IN A CLASS BEFORE I NEED TO CANCEL/POSTPONE/CREATE A WAITLIST?

Here are the fidelity guidelines:
In an
urban/suburban area, at 2 weeks from the start date, if there are 8 people registered, then we work to get them to 10 people registered by Session 1. If by Session 1, there are not at least 7 people attending, the workshop will be postponed/cancelled. The workshop can have a maximum of 20 participants.

In a rural area, at 2 weeks from the start date, if there are 5 people registered, then we work to get 7 people registered by Session 1. If by Session 1, there are not at least 5 people attending, the workshop will be postponed/cancelled. The workshop can have a maximum of 20 participants.

NOTE: Workshops should not be canceled once they have started. 

how can i get to the fearless facilitator blog?

Here’s the link to the blog: https://www.ilpathwaystohealth.org/fearlessfacilitator

You can also access the blog by clicking on the link located at the bottom of the IL Pathways to Health HOME Page.