Reports generated from data collection 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.
The forms below can be completed as a fillable PDF or they can be printed out to serve either virtual or in-person workshops.
Please contact healthyagingncinfo@gmail.com if you have any questions about the forms.
Download and share the one-pager: Using Fillable Portable Document Files for Survey Data Collection
A Matter of Balance
Participant Agreement Par Q Fillable
AMOB Program Info Cover Sheet Fillable (7/29/21)
AMOB Attendance with TUG Fillable (7/29/21)
AMOB Participant Info Form / First Session Survey Fillable (7/29/21)
AMOB Post Session Survey Fillable (7/29/21)
Tai Chi for Arthritis and Fall Prevention
TCA/FP Registration Form Fillable
Participant Agreement Par Q Fillable
TCAFP Program Info Cover Sheet Fillable (7/29/21)
TCAFP Attendance for Virtual Fillable with Totals (7/29/21)
TCAFP Participant Info Form / First Session Survey Fillable (7/29/21)
TCAFP Post Session Survey Fillable (7/29/21)
Walk With Ease
WWE Participant Information Form Fillable
WWE Attendance Log Fillable
WWE Post Program Form Fillable
WWE Fidelity Evaluation Checklist Form Fillable
Chronic Disease Self-Management Education (CDSME) Programs
CDSME Cover Sheet Fillable Fields
CDSME Attendance Log Fillable Fields
CDSME Participant Pre-Survey Fillable Fields
CDSME Participant Post-Survey Fillable Fields
Tipsheet for Collecting Data
CDSME Forms Instruction Webinar