Take Charge Programs Leader Resources
Includes workshop material for:
- Take Charge of Your Health (CDSMP)
- Take Charge of Your Diabetes (DSMP)
- Take Charge of Your Pain
- Cancer: Thriving and Surviving
- Workplace CDSMP
Upon workshop completion, email attendance sheet to joan.fox@ageoptions.org
If you will NOT be entering class participant data, and participants are NOT using electronic forms, email the completed participant forms to joan.fox@ageotions.org
Course Materials for Leaders
Data Collection Checklist- For all Take Charge Programs
Attendance Sheet- Excel Document
Attendance Sheet- Printable Form
Session 1 Data Collection Script
Session 1 Virtual Data Collection Script
Fillable Forms for Participants
One form per participant, unless participant will be using electronic forms
Session 1
Participant Registration Packet- Includes registration form, privacy policy, and liability waiver
Welcome Letter: CDSMP - DSMP - PAIN - CANCER - Workplace CDSMP
Workshop Overview and Homework by Session: CDSMP - DSMP - PAIN - CANCER - Workplace CDSMP
Menu Planning 1- For Take Charge of Your Diabetes only
Menu Planning 2- For Take Charge of Your Diabetes only
Pain/ Mood Diary- For Workplace CDSMP only
Time Management Worksheet- For Workplace CDSMP only
Last Session
Optional
Photo Media Release- Feel free to edit to add your organization's information
Zoom Instructions- (Provided by Rush) For online workshops
Participant Certificate of Completion Template
Electronic Forms for Participants
Electronic forms are available through the ILPTH Participant Portal
Participant Guide- Instructions that can be sent to participants for completing electronic surveys
Links and Other Materials:
Pre-workshop Checklist and Participant Recruitment Plan
Email Templates- For leaders to send to participants for online workshops
Crisis Intervention Plan- Provides general guidance about what to do in crisis situations
Receipt Template for Books/CD's
Brief Body Scan- Contact us if you would like to purchase a CD. You may also Google or use YouTube to find a meditation.