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Materials for Master Trainers

Stanford University License – Self-Management Programs This is the document (organization’s signed licensing agreement) that goes near the front of Leader manuals for CDSMP, Tomando Control de su Salud, CPSMP and DSMP programs. Living a Healthy Life (CDSMP) Quality Improvement Tool Paperwork Submission:  Please submit all CQI forms to your RAC Coordinator at the completion

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All Leader Trainings

Leader Training Roster (1 per training) (Electronic/Fill-in Format) Extra Sheets – Leader Training Roster (as needed) Master Trainers should complete the Leader Training Roster and submit to the RAC Coordinator along with the leader applications. This paperwork is to be used for all MAOP interventions, including CDSMP, Tomando Control de su Salud, Walk with Ease,

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Walk With Ease – Group

These forms are to be completed by leaders/instructors every quarter. AF Program Information Form/Cover Sheet (Spanish or English) (1 per workshop) (Fill-in Format – English) Course Roster/Participant Attendance Form (1 per workshop) (DOC format) (Excel Format) (Electronic/Fill-in Format) Extra Pages – Course Roster/Participant Attendance (as needed) (Excel Format) (Electronic/Fill-in Format) AF Participant Release Form (1

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Walk With Ease – Individual

AF WWE Individual Tracking Form One form of evaluation must be completed for each participant in order for them to count for reach.  Suggestions of how to track this are below: WWE-Individual Pocket Journal AF WWE Individual Participant Evaluation Form WWE-Individual Phone Evaluation Each participant must also submit a survey for each class they take.

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Diabetes Self-Management Program (DSMP)

Course Roster/Participant Attendance Form (1 per workshop) (DOC format) (Excel Format) (Electronic/Fill-in Format) Extra Pages – Course Roster/Participant Attendance (as needed) (Excel Format) (Electronic/Fill-in Format) DSMP Participant Release (DOC Format) (1 form per participant) Participant Information Survey Card (by Region) (1 form per participant) DSMP Provider Feedback Form (week 5; 1 form per participant) Paperwork

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Participant Information Survey Card (by Region)

Please click on your region below for the appropriate Information Survey Card for your participants: Northwest Missouri RAC (Debbie Braby – RAC Coordinator) Northeast Missouri RAC (Doris Fountain – RAC Coordinator) Kansas City Area RAC (Orvie Prewitt – RAC Coordinator) Central Missouri RAC (Beth Richards – MAOP Director) Eastern Missouri RAC (Duana Russell-Thomas – RAC

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Living a Healthy Life (Chronic Disease Self-Management Program – CDSMP)

Course Roster/Participant Attendance Form (1 per workshop) (Electronic/Fill-in Format) Extra Pages – Course Roster/Participant Attendance (as needed) (Electronic/Fill-in Format) Living a Healthy Life (CDSMP) Participant Release (1 form per participant) Participant Information Survey Card (by Region) (1 form per participant) CDSMP Provider Feedback Form (1 form per participant; week 5) Paperwork Submission:  Please submit all

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New Documents Added – WWE Worksite Wellness Marketing and CDSMP National Study

Two new documents have been added to the website for the Walk With Ease program – marketing to Worksite Wellness programs.  A brochure and a flyer have been included.  These items can be found in the left column under "Documents" > "Arthritis Foundation Marketing Materials".   Additionally, the CDSMP National Study found in the Journal

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