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Pre-Program Questionairre

Company
Name:

Your Name:

Phone Number:

Email Address:

Web Site:

General
Background Information

1. What is your company’s/association’s
mission statement or vision?

2. What is your organization’s
major strength? What makes your organization unique?
If applicable, what is your organization’s competitive
edge?

3. What are some of the current
problems or challenges experienced by your industry/organization/people?

4. What are the most significant
events to have occurred in your industry, group, or
organization during the past year? (mergers, relocations,
cutbacks, new product or service, legislation, etc ).

Presentation

1. What are your specific
objectives for my session? What three things would you
like the audience to walk away with?

Objectives:

1:

2:

3:

2. Are there any issues/topics
in particular that you think I should discuss during
my program? Key issues to avoid (if any)? Are there
any subjects, words, phrases or concepts that people
are negative about and should be avoided.

3. Is there a theme or slogan
you want repeated, or used as a theme, in my presentation?

4. Program
Mix: How much???

% Motivation:

% How to/Nuts & Bolts:

% Humor:

Analysis
1. How many people will be in the audience?
Can you be more specific as to the % breakdown of the
audience (males/females, rank within the profession
or company, level of sophistication, average age, ranges
of age, etc.)
2. Would you describe your group as:
(Select all that apply)
fun-loving

willing to participate

serious

open and cooperative

self-conscious

demanding

high ego strength

Other descriptions?

3. Can you supply me with a “day-in-the-life-of”
example of someone who best represents this audience?
Or can you give me the names and phone numbers of other
people whom I might contact?

Helpful Information

1. What did your group like about the speakers they’ve
heard in the past? What did they not like? Why did you
select me?
2. How will this program be advertised
and participants recruited? Voluntary or mandatory attendance?
3. Please send any information (annual
reports, newsletters, etc.) which will provide a better
understanding of your organization, its products, and
its people. All promotional materials, memos, etc. related
to this presentation would also be very helpful.

4. Final thought — what
did I not ask that you think I should know?