12-STEP MEETING VERIFICATION FORM



SUPPORT GROUP MEETING VERIFICATION FORM

CLIENT NAME: _______________________________

Date of Meeting: ______________________ Time of Meeting: ____________________

Place of Meeting: ______________________

Type of Meeting: Open Closed Speaker Discussion Step

Speaker’s first name/Meeting leader’s first name: __________________

Topic of the Meeting: __________________________

How does what you heard in the meeting relate to you:

If you need more room, finish on the back

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Date of Meeting: ______________________ Time of Meeting: ____________________

Place of Meeting: ______________________

Type of Meeting: Open Closed Speaker Discussion Step

Speaker’s first name/Meeting leader’s first name: __________________

Topic of the Meeting: __________________________

How does what you heard in the meeting relate to you:

If you need more room, finish on the back

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