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OF COMMUNITY <br /> INTERVIEW FORM <br /> • NAME DATE OF MEETING <br /> POSITION <br /> BACKGROUND <br /> 1. How would you judge your health compared to others. <br /> Not at all 1 2 3 4 5 6 7 A great deal <br /> 2. How much interest do you have in your health, self , etc. <br /> Not at all 1 2 3 4 5 6 7 A great deal <br /> 3 . I judge this person to be <br /> • 4 . <br /> 5. What population are they most familiar with? <br /> 6. What do you think of the new interest in Lifestyle Health? <br /> 7. Is there a need in 'your ' community? <br /> 7b. DO you feel people already know a great deal about this area? <br /> 4111 8. What do you feel are people ' s greatest interest? <br /> (OVER) <br />