Pre-Program Questionnaire

Dear client, 
This survey is designed to help me tailor my program for you. The more complete the information, the better. Please answer just those questions that pertain to your particular session, and return this form no later than three weeks prior to the event. Thanks for your help in making my talk relate to the current challenges, strengths and events of your audience and your association.
Susan Carnahan
 

  Company Name:
  Your Name:
  Event Title:
  Phone Number:
  E-mail Address:
  Website:
   
General Background Information 
What is your company or association's mission statement, vision, motto or slogan?
 
What is your organization's major strength? What makes your organization unique? If applicable, what is your company's competitive edge?
 
What are some of the current problems or challenges experienced by your industry/organization/people?
 
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.)
 
What goals would you like me to reinforce? What ideas would you like the audience to walk away with?
 
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?
 
What is your conference theme?
What is the specific purpose of this meeting? (Annual meeting, awards banquet, training.)
 
Audience Analysis
How many people will be in the audience?
% breakdown of Males Females:
% Males    % Females
% breakdown of age:
20-30:    30-40:    40-50:    60+: 
Level of education:
# Senior Level Executives:    # Middle Management:    # Support Staff: 
 
What are the major job responsibilities of those in the audience?
 
Can you supply me with a "day-in-the-life-of" example who best represents this audience? Or, can you give me the names and phone numbers of other people whom I might contact?
 
Please list names and titles of your senior people at this meeting.
 
Would you describe the group as:
(Hold CTRL for multiple selections) 
   
Spouses invited?
Yes    No
 
Helpful Information
What did your group like or dislike about speakers they've heard in the past?
 
Where did you hear about me? Why did you select me?
  
% of audience who may have heard Susan speak before?
 
What did I not ask that you think I should know?
 
How will this program be advertised and participants recruited?
Voluntary or  mandatory attendance?
   
Please send any information (annual reports, newsletters, etc.) which will provide a better understanding of your organization, its product, and its people. All promotional materials, memos, etc. related to this presentation would also be very helpful.

   
    

Carnahan Presents! - 18625 Wethersfield Drive - Monument, CO  80132
Office: (719) 488-3048  Fax: (719) 488-8376  SusanCarnahan@CarnahanPresents.com
© 2001 - 2007 Susan Carnahan - Site Services: Wave's End Services, LLC