An initiative of The N.C. Center for Health & Wellness at UNC Asheville

Trainer Resources

Updated paperwork for Living Healthy with CDSME workshops

The following forms are required for all CDSME workshops (Program Information Cover Sheet, Attendance Log, and Participant Information Survey):

Program Information Cover Sheet

Attendance Log

Participant Information Survey

Tipsheet for Collecting Data

Spanish CDSME Participant Info Survey

Spanish Program Info Cover Sheet

Spanish CDSME Attendance Log


Living Healthy with CDSME Marketing and Media Tools

Would you like to market your Living Healthy with Chronic Disease Self Management workshops in the media? View templates for a newspaper article, ad, and PSA (public service announcement) for Living Healthy with Chronic Disease Self Management media options, a sample newspaper article and PSA for Living Healthy with Diabetes Self Managment Program media options, and a sample newspaper article and PSA for Living Healthy with Chronic Pain Self Management Program media options.

Would you like easy-to-use formats to promote your upcoming Living Healthy with Chronic Disease Self Management workshops? View templates for a Living Healthy with CDSMP Brochure, Living Healthy with CDSMP Rack Card, and Living Healthy with CDSMP Flyer.

North Carolina Division of Aging and Adult Services holds tools and templates that may be of help to you as you work to implement Living Healthy with Chronic Disease Self Management Programs. Some of the tools and templates were developed here in North Carolina—at the state, regional, county or local levels—while others were created in other states and shared among the national network of people and places implementing evidence-based health promotion and disease prevention programs for older adults.

Contact Jeanne Dairaghi for more information.


A Matter of Balance Tools & Resources

Reports generated from this data are valuable for everyone —  participants, community sites, funders and policymakers. These reports are helping the evidence-based movement not only locally in your own communities, but nationally. Additional resources for A Matter of Balance (AMOB) can be found by visiting the Maine Health AMOB page.

A Matter of Balance Program Data Collection Forms:

MOB First Session Survey

MOB Last Session Survey

MOB Class Info Sheet

MOB Attendance Sheet

Participant Agreement and Par Q

Tai Chi for Arthritis

Tai Chi for Arthritis Data Collection Forms:

Tai Chi First Session Survey

Tai Chi Last Session Survey

Tai Chi Class Info Cover Sheet

Tai Chi Attendance Sheet – 16 sessions