Outreach and Diabetes Sreening Appendices
Click below for supplemental outreach materials, DRA, DRA materials, and diabetes screening materials. See the Outreach and Diabetes Screening protocol for guidance on outreach (includes DRA) and diabetes screenings. Throughout the protocol, relevant materials and forms are noted in yellow boxes, and are available below. Appendices are formatted in Microsoft Word, unless indicated.
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Supplemental Outreach Materials |
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| LWBW project summary | English | Not available |
| Sample Outreach Calendar | English | Not available |
| Outreach Presentation | English (PowerPoint) |
Spanish (PowerPoint) |
| Flyer Screening and Presentation Sample | English | Not Available |
| Sign-in Sheet | English | Not Available |
| ADA Pre-Diabetes Handout | English | Spanish |
| LWBW Brochure | English (Publisher) |
Spanish (Publisher) |
| Sample Flyer Refer A Friend | English | Not Available |
| Sample Refer A Friend Vouchers | English | Not Available |
| Sample Flyer Refer A Friend and Voucher | Not available | Spanish |
| Sample Newspaper Ads | English | Not available |
| Sample Flyer Diabetes Screenings | English | Spanish |
| Fasting Instructions | English | Spanish |
| Outreach Event Summary Sheet | English | Not available |
| Diabetes Risk Appraisal Materials | ||
| Diabetes Risk Appraisal (DRA) | English | Spanish |
| Diabetes Basics | English (PDF) |
Not available |
| Body Mass Index Chart | English | Spanish |
| Diabetes Screening Materials | ||
| Fingerstick Glucose Test Procedures | English | Not Available |
| FS Results Card Less Than 106 | English | Spanish |
| FS Results Card 106-160 | English | Spanish |
| FS Results Card 106-160 Ineligible (use if deemed ineligible by staff (i.e. does not speak English/Spanish, cognitive difficulty, etc) | English | Spanish |
| FS Results Card 161-180 | English | Spanish |
| FS Results Card More Than 180 | English | |