Pre-Program Questionnaire

Thank you for taking the time to complete this inquiry form and returning it as soon as possible so that Nancy can tailor her presentation to your group in the best possible manner. You may also download the survey in Adobe Acrobat and fax it to 720-304-3719.

Organization:

Contact:

Title:

Phone
Work:
Home:
Cell:

Fax:

Address:

Email:

Website address:

Introducer for Nancy
Name:
Title:

Outroducer for Nancy
Name:
Title:

I. The Event

Program Date
Day:
Time:

Meeting Time:

Theme:

Purpose or Objectives of the Meeting:

Attire for attendees:

II. My travel

Meeting location: (Please include facility, address, phone number, directions)

Closest airport:

Travel time from airport to lodging/site:

Recommended mode of transportation from airport to lodging/site and specific information re. finding that at airport:

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III. My program

Set-up time:

When can Nancy meet with the A/V professional?

Confirm name of my presentation:

What is happening before my presentation?

What is happening after my presentation?

Will there be other speakers at your event? How many?

Please confirm Handouts to be provided by your organization (Nancy will email to you):

IV. Audience

Number of attendees: ___________
Age range: ________ Gender: Female: ___ % Male: ___ %

Who will be in audience? Supervisors, Managers, Executives, Sales People, Line Staff, Professional Staff, Customer Service, Support, Teachers, Other?

What do you want them to feel or know at the end of my presentation?

What are some special challenges/problems/stresses/complaints currently experienced by your industry or organization?

What breakthroughs or accomplishments have occurred within the last year amongst the attendees?

What changes have taken place in your organization in the last year or so and what changes do you anticipate in the near future?

What is unique about your group? (e.g. red tape, seasonal work flow, uniforms, swing hours, travel, etc.)

What are some “hot spots” (incl. anything to avoid talking about)?

What are some special catch-phrases, in-house slogans, sayings, marketing words, quotes, etc. frequently used by my audience?

Who are some key people to recognize (or nicely kid!) in the audience related to the topic? Please provide names, titles, contact information and why they might be mentioned.

To give Nancy more insights, please provide the names, titles, phone numbers and email addresses of 2-3 people who will be attending:

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V. Arrangements

May 1 or 2 guests sit in on Nancy’s program? Yes ___ or No ___

May Nancy offer support products to help your attendees reinforce their learning for purchase after her program?
Yes ___ or No ___

If yes, confirm where table will be located (note preference is in back of room by a main door, or outside the room in the path to the restrooms or next meeting):

Will/Can Nancy’s program be videotaped by your organization?
Yes ___ or No ___ Any information re. this?

Please send a meeting agenda as soon as possible, as well as any company newsletters or promotional materials relating to Nancy’s presentation (s).

Thank you for assisting Nancy to make your event a “masterpiece!”