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Program tool 22. Program log forms

Log form for active living programs

This log form allows you to keep track of the active living programs in your organization. Each time your members engage in an active living program take a minute to fill out the log below.

Keeping track of the type of program, the date and time as well as the number of participants for that session is important for evaluating active living programs at your legion or centre.

Active living program Date and time Number of participants Comments

 

 

      

 

 

      

 

 

      

 

 

      

 

 

      

 

 

      

 

 

      

 

Active Independent Aging was a joint venture between the University of Ottawa and the Public Health and Long-term Care Branch, City Of Ottawa. For more information please visit our website at: www.falls-chutes.com. Funding provided by Health Canada/Veterans Affairs Canada Falls Prevention Initiative. The views expressed herein do not necessarily represent the official policies of Health Canada, Veterans Affairs Canada, the University of Ottawa and the Public Health and Long-term Care Branch, City Of Ottawa. The information in this handout is current as of 2004.

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Last modified May 7, 2004