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A Matter of Balance - Resources and Tools for Master Trainers

A Matter of Balance Class Data Collection and Evaluation Forms 

We strongly encourage Master Trainer sites to register with the Matter of Balance Online Data Entry System to be a part of the national data collection. With support from the U.S. Administration on Aging and the National Council on Aging, Senior Services has developed a web-based system (developed on the widely-used Salesforce platform) that will permit all of us to continue to obtain high quality and timely data. Reports generated from this data are valuable for everyone --  participants, community sites, funders and policymakers. These reports are helping the evidence-based movement not only locally in your own communities, but nationally.

We have made the forms available for Master Trainers to download and print for use with the online data entry system. If you are not registered with the system, you may still use the forms to collect your own data.

Forms Packet (includes Attendance Sheet, First and Last Class Surveys
and Class Evaluation Form)

Spanish Forms

Data Collection Forms for Participants with Low Vision

The MOB First and Last Class Surveys and Class Evaluation Forms are available in 12-point font and 20-point font for visually impaired participants:

Download the 12-point font forms

Download the 20-point font forms

A Matter of Balance Job Descriptions

Master Trainer Job Description

Coach Job Description  and  Sample Coach MOU

Guest Healthcare Professional Job Description

A Matter of Balance Promotional Materials

Coach Recruitment Presentation

Prescription Pad Template

National Resources

Administration on Aging

National Council on Aging Center for Healthy Aging

Centers for Disease Control and Prevention:  Falls - Older Adults 

Fall Prevention Center of Excellence

Go 4 Life from the National Institute on Aging at NIH

U.S. Department of Health and Human Services Physical Activity Guidelines for Americans

The STEADI Toolkit

Now available from the Centers for Disease Control and Prevention:
The STEADI (Stopping Elderly Accidents, Deaths, & Injuries) Toolkit
Researchers at the CDC’s Injury Center have created the STEADI Tool Kit for healthcare providers who treat older adults who are at risk of falling or have fallen in the past. The tool kit offers information and tools to assess and address older patients’ fall risk. While the tool kit was created primarily for practices, it contains information that can be useful to all.

STEADI Toolkit (pdf)

Fall Prevention Resource Materials

Fall Prevention Information for Patients and Families



A Matter of Balance Program Fidelity

Reminders and Tips

Download the Core Elements to Maintain Fidelity Handout (pdf)


American Public Health Association 2013 Annual Meeting Poster Presentation
Enhancing Connections Between Community Based Organizations and Health Care Using a Fall Prevention Intervention (pdf)

View Full Size Poster


Presentations from the
ASA Aging in America Conference 2013

Impacting Falls Among Older Adults Through Integrated Multi-Level Models
Utilizing your Title IIID Funds to Deliver Evidence-Based Programs
A Matter of Balance: Reaching Out to Underserved Communities
Examining the Impact of Bundling Two Evidence-Based Disease Prevention Programs



110 Free Street | Portland, Maine 04101 | (207) 661-7001