Download Plain Talk Forms

English Forms | Spanish Forms | Funding | Public Relations | Logos

Site Application

• Site Application (Apr 2008)

Intake & Baseline Forms

• Community Demographics Form (Dec 2006)
• Volunteer and Walker & Talkers Intake Form (Jan 2008)
• Volunteer and Walker & Talkers Update Form (Feb 2008)

Confidentiality Forms

• Surveyors Pledge of Confidentiality (Sep 2005)
• Program Staff Privacy Certificate (Sep 2006)

Community Mapping Consent Forms

• Adult Consent Form (Mar 2008)
• Adolescent Permission Form (Mar 2008)
• Adolescent Assent Form (Mar 2008)
• Physician and Service Site Consent Form (Mar 2008)
• Plain Talk Photo Permission Form (Mar 2008)

Community Mapping Surveys

• Adult Survey (Mar 2008)
• Adolescent Survey (Jan 2008)
• Physician Survey (Apr 2008)
• Service Site Survey (Apr 2008)
• Inventory of Sources for Non-Prescription Contraceptives (Jan 2008)

Home Health Party Forms

• Home Health Party Form (Feb 2008)
• Home Health Party Pre/Post Test Consent Form (Feb 2008)
• Reproductive Anatomy and Birth Control Pre/Post Test (Sep 2006)
• STD Transmission and Communication Skills Pre/Post Test (Sep 2006)
• Community Forum Report (Sep 2006)

Focus Group Forms

• Focus Groups Template (Apr 2006)
• Adult Focus Group Consent Form (Mar 2008)
• Adolescent Focus Group Assent Form (Mar 2008)
• Adult Permission for Adolescent Focus Group Form (Mar 2008)

Additional Materials

• Community Surveyors Certificate of Completion (Dec 2005)
• Plain Talk Logos - Screen (zip archive) (Sep 2005)
• Plain Talk Logos - Print (zip archive) (Sep 2005)
• Plain Talk Data Collection System Slideshow (Feb 2008)

Job Descriptions

• Walker & Talker Job Description (Feb 2008)
• Community Mapping Volunteer Job Description (Feb 2008)
• Program Coordinator Job Description (Feb 2008)
• Program Director Job Description (Feb 2008)
  

 

Note: To open PDF files, you will need Acrobat Reader. To open ZIP archives, you will need WinZip or similar.