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, . . .. ...__ ...r��....r � .•...wa�a �•:�vu�+�IN1vL�Y� <br />' ' OF COMMUNITY <br />INTERVIEW FORM <br />POSITION <br />BACKGROU <br />DATE OC MEETING , <br />l. 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 pereon to be <br />,---_ <br />4. <br />_--.� <br />5. What papulation are they most familiar with7 <br />6. What do you think of the new interest in Lifestyle tiealth? <br />7. Ia there a need in 'your' community? <br />7b. Do you ieel people already know a great deal about thi� areaT <br />�B. Wha� do ya� fee�_�re people's.greatest interest? <br />F``� <br />i <br />(QVER) <br />t , ;... <br />�', - �� �� � <br />