PATH Workshop Data Collection

Collecting PATH Workshop Data - Step by Step Instructions

 Data Collection Instructions

Before the Workshop begins

STEP 1

Form: Workshop Registration Form – Completed by Leader

Purpose: To provide all necessary information about the workshop location, dates, and leaders.

How to Use:

  • Complete Word document with all details about the workshop you are planning, then email the form, as an attachment, to: MichiganPath@gmail.com.
  • You will receive an email with a Course ID and a Location ID number to use on the rest of the forms.

Before and During Workshop Session #1

STEP 2

Form: Attendance Log – Completed by Leader

Purpose: To record participant attendance session-by-session.

How to Use:

  • Write the first name or nickname of each participant on the log.
  • Each participant's line number on the Attendance Log is their Participant ID # on the Participant Information Form. Write each participant's ID # on their Participant Information Form.
  • Record attendance for all six weeks and mail after Session 6. REQUIRED FOR ALL WORKSHOPS RECEIVING FUNDS FROM AGING AND ADULT SERVICES or AREA AGENCIES ON AGING.

STEP 3

Form: Welcome Letter – Given to participants, read out loud by leaders

Purpose: To explain to workshop participants why we collect the information on the Participant Information Form.

How to Use: Read out loud to participants at the beginning of Session 1, provide a copy of the letter and then hand out the Participant Information Form (see Step 4) and in Diabetes PATH, the Diabetes PATH Survey.


STEP 3a

Form: Diabetes PATH Survey (Pre) (D-PATH only)

Purpose: To gauge knowledge of participant before the workshop begins.

NOTE: Please copy this as a single sheet, double-sided.

How to Use: Ask all participants in D-PATH workshops to complete the Diabetes Survey before the workshop begins. Be sure to include the Participant ID# and indicate if it is Pre or Post at the bottom of the sheet.


STEP 4

Form: Participant Information Form – Completed by Participants

Purpose: To record basic information about workshop participants.

NOTE: Please copy this as a single sheet, double-sided.

How to Use:

  • Before the workshop, complete the box on the back with Workshop Location, Date, Course ID, Location ID AND Participant Number.
  • Give to participants at the beginning of Session 1 (or 2 if they start late) with the Welcome Letter (Step 4).
  • Please be sure you have recorded the participant number for each person (from the Attendance Log) on the form before handing it out.

STEP 5

Form: Cover Sheet- Participant Information Form – Completed by Leader

Purpose: To identify the workshop where the Participant Information Forms and Diabetes Surveys were gathered and the number of participants enrolled.

How to Use:

  • Fill in all of the fields with requested workshop information and use as a cover sheet for the packet of Participant Information Forms.
  • Mail to MDHHS within 24 hours of the conclusion of Session 1 with the Participant Information Forms, and in D-PATH, the Diabetes PATH Survey.

At Workshop Session #6

STEP 6

Form: Evaluation Form – Completed by Participant

Purpose: To record participant feedback regarding their workshop experience

How to Use: Give to participants during Session 6 of the workshop, and ask them to complete the form.


STEP 6a

Form: Diabetes PATH Survey (Post) (D-PATH only)

Purpose: To gauge knowledge of participant after the workshop ends.

NOTE: Please copy this as a single sheet, double-sided.

How to Use: Ask all participants in D-PATH workshops to complete the Diabetes Survey after the workshop ends. Be sure to include the Participant ID# and indicate if it is Pre or Post at the bottom of the sheet.


STEP 7

Form: Workshop Summary Form-Session 6 – Completed by Leader

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, Attendance Log and Diabetes PATH Surveys.
  • Mail the entire packet to MDHHS within 3 days, following the conclusion of Session 6.

STEP 8

Form: Paperwork Checklist

Purpose: To help leaders keep track of what steps still need to be completed.

How to Use: This is for your use. It is recommended that you print a copy for each workshop to keep track of what needs to be done.


Where to Mail the Forms:

MDHHS
Attn: PATH Program, 7th Floor
PO Box 30195
Lansing, MI 48909
 


What Leaders need to know about the confidentiality of participant information

Participants are asked to provide some basic information about themselves on the Participant Information Form. They can be assured that their information will be protected and there will be no identifying information connected to their responses. It is important to read the Welcome Letter so that participants understand why we are asking them for information and what will be done with it.
 

If you have questions or concerns about these forms, please contact a MDHHS Arthritis Program staff person:


Doreen Chambers
ChambersD1@michigan.gov
517-241-5652

Karen McCloskey
McCloskeyK@michigan.gov
517-335-1236

Candice Lee
LeeC@michigan.gov
517-335-3188


Forms on This Page

Data Collection Instructions

Workshop Registration

Attendance Log

Welcome Letter

Diabetes PATH Survey (D-PATH only)

Participant Information Form

Cover Sheet-Participant Information Form

Evaluation Form

Workshop Summary Form

Paperwork Checklist

Provider Feedback Form