Pre-Program Questionnaire

The more I know about you, your group, and your organization the better the program! The answers to the following questions will help me custom tailor my presentation to the needs of your audience and will assist in keeping your schedule on time. All information provided is strictly confidential and only used to prepare a top quality custom presentation.

I would also appreciate receiving any information on your group that may help me in this presentation. (e.g., corporate reports, publications, services, etc.) Remember we don't deduct for grammar! Thanks for your help in making my presentation a success!
Dan Jordan, Infotainer

Client:
 Meeting Date:
 Meeting Location:
Filled Out By:
 Phone Number:
 Email Address:
The Presentation:
Presentation Title:
 Starting Time:
 Any Breaks:
What is before me:
 After my program:
 Appropriate attire for me:
Meeting Title/Theme:
 Sensitive issues to avoid:
 Specific meeting objectives:
If you could cause those in attendance to do one thing as a result of this presentation, what would it be?
Please list three things the attendees at this meeting are doing well in terms of their business:
List three things the attendees could do better:
Introducer's Name:
 Introducer's Work Phone:
What speakers have you used in the past that covered topics related to the material I will be presenting for you?
Are there any people that you would like me to recognize? Please include reason, if desired.
How can I go that extra mile or add a special touch to this program?
Is there anything I can say or do that will let this audience know a special effort was made to address points of concern to them?
Company Information:
What is the mission/philosophy statement for your organization?
Is there any special jargon or terminology relating to your company?
How long has the organization been established?
Key person(s) (and phone number) I can contact to get additional inside information:
What are the most humorous events that have occurred within your organization during the past year?
What are the most serious events that have occurred within your organization during the past year?
If I could wave a magic wand to solve a problem or to improve the climate in your organization, what would it be?
Audience Information:
# of Audience Members:
 Age Range:
 Educational Backgrounds:
Percent Male:
 Percent Female:
Percent New People:
 Percent Vetrans:
Any Special Guests:
 If Yes, Name/Title of Guests:
Three names of good-natured people that I could use to participate in the program. Please note: It is important that any participants that we use are well known to the group and would enjoy the attention.
Any additional information that would be helpful to know?
 
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