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Partnership for Healthy Aging


New Participant Consent Forms
If you are participating in the Matter of Balance national outcomes evaluation, you should have received the new Participant Consent Forms from Senior Services of Seattle. Please discard any older consent forms you still have on hand. 

The new consent form contains two sections:

  • The top section gives consent to our researchers to use information on the first and last session survey for program evaluation and improvement.

  • The bottom section gives consent to U.S. Centers for Disease Control and Prevention researchers to call participants, 6 months after they complete the program, to conduct a follow-up telephone survey. The consent form contains a space for the participant's phone number.

    The CDC is conducting this survey to understand how well participants of the A Matter of Balance program retain information and maintain the behaviors they’ve learned, six months after completing the program. The survey will ask participants about their experiences with the program and about their current knowledge and behaviors related to fall prevention. Participants’ data will be combined and results will be provided to the Administration on Aging (AoA) and the local programs.

Frequently-asked questions and answers about submitting MOB evaluation forms.

Please contact us or call 207-775-1095 if you have questions or need more information.

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