Age in Place
WORKING WITH US
We offer each instructor the resources and support to make launching LIFT easy
A step by step guide to delivering LIFT
Delivery contract, recruitment materials, and more
Video guides to the LIFT exercises
Upon completion of program, LIFT Program manager will provide impact statement
LIFT Program Manual
A full program manual with guidelines from recruitment to evaluation. Find forms and suggestions related to program sessions, recruitment, and pictures of exercises.
Fill too large for posting, click to request access via email.
LIFT Instructor Fact Sheet and Forms Checklist
A two page summary protocol document containing basic start up instructions for beginning a LIFT program in your community.
LIFT Exercises for Daily Living
This document summarizes how the movements in your LIFT class improve movement throughout tasks of daily living.
LIABILITY: In the rare case of an incident or accident, please complete the following steps:
1. Call authorities as needed, do not perform any health or medical procedures you are not authorized to do
2. Complete incident/accident report (link here)
3. Inform your district director and Samantha Harden
4. Follow-up with participant
5. Keep record of all interactions and updates
*Reminder keep all liability waivers at your respective office. All participants are participating at their own risk; no liability for the agent or building. This is a community program
Adaptable recruitment fliers, emails, facebook posts, etc. for advertising LIFT throughout your community. These resources can be personalized with your contact information.
Participant Program Details
This form provides the date, time, location, and information regarding the programs and is to be distributed during recruitment to participants
This document will provide you with information in regards to where and how much equipment to purchase for LIFT
An example of a quick, full-body, active workout that can be done concurrently with LIFT.
Participant Consent Form
All participants must complete this form acknowledging that they understand and agree to the ongoing research and potential risks associated with LIFT. Please distribute to your participants and return to the program manager.
Sign in sheet
For participants to sign in upon the arrival of LIFT class to track attendance.
Functional Fitness Assessment Instructions
Within this form, instructors can read how to conduct each functional fitness test and what equipment is needed.
Functional Fitness Assessments
Forms for Functional Fitness Assessments. Please complete pre-program, post-program, and 6 months post-program and return to the program manager.
Physical Activity Readiness Question (PAR-Q+)
All Participants must complete a PAR-Q+ prior to starting the LIFT Program
Weekly Process Evaluations
These forms are to be filled out by instructors after each session. They can be sent to the program manager weekly or all together at the end of the LIFT program.
Physician Authorization Form
If participants answer 'Yes' to any of the questions in the PAR-Q, they must have a physician sign off on them participating in the LIFT Program
Exercises to cue or suggest for those with limited mobility.
Track participant behaviors and perceptions before, during and after the program to create a rich picture of the impact of LIFT
LIFT Pre-Program Survey
Please distribute to your participants before the start of LIFT. Return surveys to the LIFT program manager.
LIFT Post-Program Survey
Please distribute to your participants at the completion of LIFT. Return surveys to the LIFT program manager.
If you would like general tips on instructing physical activity in Cooperative Extension, please click here
LIFT 6-Month Follow-up Survey
Please distribute to your participants 6-months after the completion of LIFT. Return surveys to the LIFT program manager.