Participant Registration Lab
Now that you're familiar with the purpose of the OptiHealth Network, the first skill you need to develop is the ability to engage individuals throughout your local community in creating a culture of optimal health.
The first step that an individual must take in order to engage in this process is to assess their personal situation.
This lab is designed to help you learn how to help individuals assess "their situation." Your role as an OptiHealth Community Researcher is simply to make connections and collect data.
The core of our research project is our Community Health Survey. To become familiar with this survey, read each question below along with the comments. You'll want to get so familiar with this survey that you'll be able to make it like a casual conversation -- as if you're simply getting to know a new acquaintance.
The first step that an individual must take in order to engage in this process is to assess their personal situation.
This lab is designed to help you learn how to help individuals assess "their situation." Your role as an OptiHealth Community Researcher is simply to make connections and collect data.
The core of our research project is our Community Health Survey. To become familiar with this survey, read each question below along with the comments. You'll want to get so familiar with this survey that you'll be able to make it like a casual conversation -- as if you're simply getting to know a new acquaintance.
OptiHealth Participant Registration Process
* Indicates a required field.
Date: __ __ / __ __ / __ __ * (Fill-in as dd/mm/yy)
Registrar: ________________ * (Your name goes here.)
Participant: First:__________ * Last:__________ * (Their name goes here. Be sure to get the correct spelling.)
City: _______________ * "In what city do you live?"
State: __ __ * (Don't ask. Fill-in the two-letter abbreviation.)
Age-Category: (Don't ask, just indicate your impression.)
Gender: * (Don't ask, just indicate the obvious.)
Race/Ethnicity: (Don't ask, just indicate your impression.)
Language: (Don't ask, just indicate the obvious.)
Health Status: (Don't ask, just indicate your impression.)
Interests: * (Don't ask specifically, just indicate your recommendations based on your conversation - mark all that apply.)
Notifications? * "Could I send you a text or email about our local, free programs?"
Email: * __________
Phone #: * (___) ___-____
Submit - If you leave any responses blank, it will alert you to them.
* Indicates a required field.
Date: __ __ / __ __ / __ __ * (Fill-in as dd/mm/yy)
Registrar: ________________ * (Your name goes here.)
Participant: First:__________ * Last:__________ * (Their name goes here. Be sure to get the correct spelling.)
City: _______________ * "In what city do you live?"
State: __ __ * (Don't ask. Fill-in the two-letter abbreviation.)
Age-Category: (Don't ask, just indicate your impression.)
- Pre-Teen (8-12)
- Teen (13-17)
- Young Adult (18-29)
- Adult (30-64)
- Senior (65+)
Gender: * (Don't ask, just indicate the obvious.)
- Male
- Female
Race/Ethnicity: (Don't ask, just indicate your impression.)
- Black
- White
- Hispanic
- Asian
- Middle-Eastern
- Other (Indicate their exact ethnicity in the Notes section below.)
Language: (Don't ask, just indicate the obvious.)
- English
- Spanish
- Other (Indicate their preferred language in the Notes section below.)
Health Status: (Don't ask, just indicate your impression.)
- 5 = Execellent
- 4 = Good
- 3 = Fair
- 2 = Poor
- 1 = Critical
Interests: * (Don't ask specifically, just indicate your recommendations based on your conversation - mark all that apply.)
- OptiHealth Sports
- Fitness Training
- Muscles for Billy
- Med-Fit Clinic
- Weight Loss
- Disease Self-Management
- TLC Action Groups
- Undetermined
- Other (Indicate their specific interest in the Notes section below.)
Notifications? * "Could I send you a text or email about our local, free programs?"
- Yes
- No
Email: * __________
Phone #: * (___) ___-____
Submit - If you leave any responses blank, it will alert you to them.
After getting familiar with the questions above, use the link below to access the online OptiHealth Participant Registration form.
- Complete a Registration form for yourself and submit it. Contact Us if you have any problems.
- Talk to as many of your contacts as you can over the next few days about the OptiHealth Network and its free services to createa culture of optimal health.
- Register at least 5 of your contacts to complete this lab.
After you get certified as an OptiHealth Participant Registrar, you'll continue to have access to our online Registration form. Continue registering all your contacts so that we can increase the number of our participants and grow our network. Thank you.