Purpose: To record participant attendance session-by-session.
How to Use:
Write the name of each participant on the log. This can be just a first name or nickname.
Each participant's line number on the Attendance Log is their Participant Number on the Participant Information Form (see Step #3 below). Enter each participant's number on their Participant Information Form before asking them to complete it.
Keep the Attendance Log with your workshop materials and record each person's attendance at each session for all six weeks. Submit it at the end with documents described in Steps 6 & 7.
Purpose: To record basic, non-identifying demographic information about workshop participants.
How to Use:
Distribute to participants at the beginning of Session 1 of the workshop along with the Welcome Letter (see Step #4 below), and ask them to complete it fully.
Please be sure you have recorded the participant number for each attendee (from the Attendance Log) on the form before handing it out.
Collect all the forms, seal them in an envelope, and mail them within 24 hours along with one copy of the Cover Sheet- Participant Information Form described in Step 5.
Purpose: To provide workshop participants with information about the Participant Information Form.
How to Use: Distribute to participants at the beginning of the workshop with the Participant Information Form (see Step #3 above), and read the contents aloud to them.
Purpose: To record participant feedback regarding their workshop experience
How to Use: Distribute to participants during Session 6 of the workshop, and ask them to complete the form fully. Collect all the forms and mail them to MDCH within 3 days, along with a completed Workshop Summary Form (see Step #7 below).
Purpose: To identify the workshop at which the Evaluation Forms were collected and the number of participants that completed the workshop.
How to Use:
Fill in all of the fields with requested workshop information, including the number of people who enrolled for and completed the workshop, and use the form as a cover sheet for the packet of Evaluation Forms.
Mail the entire packet to MDCH within 3 days, following the conclusion of Session 6.
What Group Leaders need to know about the confidentiality of participant information
Participants are asked to provide some demographic data on the Participant Information Form. However, they can be assured that their forms will be protected and there will be no identifying information connected to their responses.
Sample script that Group Leaders should read to the participants regarding the confidentiality of their information:
We will maintain these forms securely and privately until we send them to Michigan Partners on the PATH (MI-PATH).
They will enter your information into a database, to be compiled with information from workshop participants across the state. The information stored in the database will not include your name or any information that identifies you.
The hard copy forms will be stored securely by MI-PATH for one year, after which they are destroyed.
While you may leave any question blank, we encourage you to complete the form fully. Summarized information from all participants helps the program's state-level coordinator demonstrate how this program is serving people who will benefit the most.
You are asked to provide your name on the Attendance Log so that we can correctly match the participant information with attendance. Your name is not entered into the database at any point in the process and the paper copy of the attendance form is stored securely in a locked cabinet, then destroyed after one year.
What to do with the completed forms
Quality Assurance: After participants complete their forms (Sessions 1 and 6) please clarify any unclear responses with participants (blanks, cross-outs, multiple responses when one response is requested, etc.). For Session 1, please check to see that the number assigned to each participant on the Attendance Log matches the number you entered on their Participant Information Form.
Forms collected during Session 1: Mail all completed Participant Information Forms and the Cover Sheet- Participant Information Forms within 24 hours of the end of the first session.
Forms collected during Session 6: Review the Attendance Log to make sure it is fully completed. Mail the Attendance Log, Evaluation Forms, and Workshop Summary Form – Session 6 within 3 days of the last session.
Where to Mail the Forms:
MDCH
Attn: PATH Program, 7th Floor
PO Box 30195
Lansing, MI 48909
If you have questions or concerns about these forms, please contact a MDCH Arthritis Program staff person:
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