Youth Initiative Program Intrest Question Title * 1. Are you or do you have a youth member at Rainier Health and Fitness? Yes No Question Title * 2. Are you or do you know of someone who would be interested in a youth initiative program here at RHF? Yes No Question Title * 3. What are your reason for your interest in a youth programs? Be active Be healthy Learn more exercises Help lose weight and/or gain muscle Meet people and build community Other (please specify) Question Title * 4. Are there any topics you wish to discuss or learn more about that relates to health and fitness? Nutrition Stress and anxiety Body image Sports Other (please specify) Question Title * 5. What time would work best to have the program on Tuesdays? 3:30 pm 4:00 pm 4:30 pm Other (please specify) Question Title * 6. Would you be willing to pay for the program? Yes No Done