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Pre-Program Questionnaire

Feel free to skip over any questions you don't think apply. And if you prefer
talking instead of writing please give me your phone number and when to call.

Your effort helps me fine tune my work with your people. Thank you.
Name:
Organization:
Date(s) of Presentation:
Location(s) of the meeting(s)
Time Frame for my presentation?
start end
Email:
Your Organization and People
I would like to phone interview three members of your organization one month prior to the presentation using these and other questions:
1. What are your major strengths?
2. What are your current challenges?
3. What do audience members most need to hear at this time?
Name:
Phone:
Name:
Phone:
Name:
Phone:
Please send me your website address and in-house printed materials that will help me know who you are.
Website address:
Audience Profile
Number attending my presentation:
Percentage of males?
Percentage of females?
Average age of group?
Education level?
What are major job responsibilities of my audience members?
Program Agenda
My introducer's name:
My introducer's phone:
What takes place before and
after my presentation?
Program Contents
What is the purpose of this meeting? (Annual meeting, training, awards banquet)
What are 3 main things I should know about your group before addressing them?
Are there any sensitive issues I should avoid?
Logistics
Emergency contact person
Emergency phone number
Ship materials to whom?
What is the most convenient airport to use?
Best way to get from the airport to the meeting site or will someone meet me?
Where is the hotel where I will be staying?
Please guarantee this room for late arrival and
arrange to add to your master account. Thank You.
Please consider gifting each attendee
with one of my The Human TuneUp Company products.
 
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