SayPro Templates to Use Wellness Program Participation Template: A template to track participant information and progress in wellness programs from SayPro Monthly January SCMR-17 SayPro Monthly Health Services: Medical consultations, health screenings, wellness programs by SayPro Online Marketplace Office under SayPro Marketing Royalty SCMR
The Wellness Program Participation Template is designed to track participant information and progress in wellness programs offered by SayPro. This template ensures that all participants are monitored effectively throughout the program, helping to evaluate their engagement, progress, and feedback. It includes spaces to record key details about the participant, their goals, program activities, and participation milestones.
Wellness Program Participation Template
1. Participant Information
- Participant Full Name: [First Name, Last Name]
- Employee/Customer ID: [Unique Identifier]
- Email Address: [Email Address]
- Phone Number: [Phone Number]
- Program Enrollment Date: [MM/DD/YYYY]
- Program Type:
- Fitness Challenge
- Mindfulness Course
- Stress-Relief Workshop
- Nutrition Program
- Other (Specify): ____________
2. Program Goals
- Personal Wellness Goals:
- Weight Loss
- Stress Reduction
- Increased Physical Activity
- Improved Mental Health
- Healthy Eating
- Other (Specify): ____________
- Goals Set by Program: [e.g., Participate in 12 fitness sessions, complete mindfulness exercises 4 times a week, etc.]
3. Program Participation Details
- Program Start Date: [MM/DD/YYYY]
- Program End Date (if applicable): [MM/DD/YYYY]
- Program Activities:
- Fitness Sessions
- Meditation or Yoga
- Nutrition Workshops
- Group Discussions
- Online Courses
- Other (Specify): ____________
- Participation Frequency:
- Daily
- Weekly
- Bi-Weekly
- Monthly
4. Attendance Tracking
| Date of Participation | Activity Type | Time Spent | Completed? (Yes/No) | Notes (e.g., challenges, improvements, feedback) |
|---|---|---|---|---|
| [MM/DD/YYYY] | [e.g., Yoga] | [XX minutes] | [ ] Yes / [ ] No | [Participant feedback or challenges faced] |
| [MM/DD/YYYY] | [e.g., Workout] | [XX minutes] | [ ] Yes / [ ] No | [Participant feedback or challenges faced] |
| [MM/DD/YYYY] | [e.g., Nutrition Class] | [XX minutes] | [ ] Yes / [ ] No | [Participant feedback or challenges faced] |
Repeat as necessary for every scheduled program session.
5. Progress Evaluation
- Initial Health Status (Optional):
- Weight: [Initial Weight]
- Blood Pressure: [Initial BP]
- Stress Level (Scale 1-10): [Initial Level]
- Other Relevant Metrics (e.g., steps per day, sleep duration, etc.)
- Current Health Status (After Program Participation):
- Weight: [Current Weight]
- Blood Pressure: [Current BP]
- Stress Level (Scale 1-10): [Current Level]
- Other Relevant Metrics (e.g., steps per day, sleep duration, etc.)
- Personal Improvement Comments: [Brief description of the participant’s improvement, challenges, or feedback on their journey.]
6. Milestone Tracking
| Milestone Description | Target Date | Completion Date | Achieved? (Yes/No) | Notes |
|---|---|---|---|---|
| [e.g., Lose 5 lbs] | [MM/DD/YYYY] | [MM/DD/YYYY] | [ ] Yes / [ ] No | [Feedback on participant’s progress or challenges] |
| [e.g., Attend 10 yoga classes] | [MM/DD/YYYY] | [MM/DD/YYYY] | [ ] Yes / [ ] No | [Feedback on participant’s progress or challenges] |
| [e.g., Practice daily mindfulness] | [MM/DD/YYYY] | [MM/DD/YYYY] | [ ] Yes / [ ] No | [Feedback on participant’s progress or challenges] |
7. Participant Feedback
- How satisfied are you with the wellness program? (1-10): [Rating]
- What aspects of the program did you find most beneficial?: [Participant’s feedback]
- What improvements would you suggest for the program?: [Participant’s feedback]
- Additional Comments: [Open space for participants to provide any additional comments, concerns, or suggestions for future programs.]
8. Follow-Up Actions and Recommendations
- Follow-Up Recommendations:
- Continue Program Participation
- Join Advanced Level Program
- Explore New Wellness Activities
- Focus on Specific Goals (e.g., nutrition, stress management)
- Other (Specify): ____________
- Next Follow-Up Date: [MM/DD/YYYY]
Instructions for Use:
- Participant Information: Fill in the basic details of the participant, including their program enrollment date and chosen program type. This helps in tracking their journey from start to finish.
- Program Goals: Record both the personal wellness goals and any set program-specific goals. This helps the participant stay focused on their objectives and allows for easier tracking of progress over time.
- Program Participation Details: Specify the program’s start and end dates, as well as the types of activities the participant will engage in. This section helps to clearly define the scope and content of the program.
- Attendance Tracking: Track attendance and participation details for each session, including time spent, completion status, and any feedback or challenges faced by the participant. This ensures that each participant’s involvement is monitored effectively.
- Progress Evaluation: Document initial and current health status, including any relevant metrics (e.g., weight, blood pressure, stress levels) to assess the program’s impact. This helps to measure tangible improvements and offers a sense of accomplishment to the participant.
- Milestone Tracking: Record milestones for the participant’s goals and track whether they were achieved within the specified time frame. This section helps monitor goal completion and motivates the participant to stay engaged.
- Participant Feedback: Capture feedback from the participant regarding their satisfaction and their experience with the program. This provides valuable insight into the effectiveness of the wellness program and offers opportunities for program improvement.
- Follow-Up Actions and Recommendations: Based on the participant’s progress and feedback, suggest next steps for continued wellness engagement. These may include additional program participation or a focus on specific areas for improvement.
Purpose of the Template: The Wellness Program Participation Template ensures that participants are effectively tracked throughout their wellness journey. By documenting their goals, participation, progress, and feedback, this template allows for personalized attention and ensures continuous improvement of the wellness programs. It helps SayPro to monitor the impact of its wellness initiatives, identify areas of success or improvement, and make necessary adjustments for future offerings.