First Name: Last Name: Email Address: Organization: Title: Position: Does your institution support bringing this curriculum to your target group? YesNo If yes, what support have you received? Do you have experience leading small groups or workshops? YesNo If yes, please briefly explain. How did you learn about Finding Meaning Groups (FMG)? Intended use of your Finding Meaning Group: —Please choose an option—Independent of an InstitutionMedical SchoolResidency ProgramHospital SettingHospiceMedical Society or AssociationHealth SystemOther Healthcare Organization Target Audience of your Finding Meaning Group: PhysiciansResidentsStudentsNursesNursing StudentsOther
