Pre-Program Questionnaire

These 15 quick questions are designed to get underway for the best possible presentation preparation for your programs. Please review and fill out as much as possible and send directly to Deborah. Any questions or discussions needed, please contact Deborah.

Name of Group/Company:			Program Date:
Person completing this form :			Phone:
E-mail Address:			Fax:
Company/Organization Website:
Meeting Date & Location: Address & City: Telephone:
Theme of Meeting:
Mission/philosophy for company/organization:
What is a “successful” program to you?
What is your desired outcome?

Where do they need to think or act differently with what they do?
What is the main message you want your attendees to hear?
What challenges are they facing?
What do they need to do to be faster, better, or smarter?
What is unique about your audience?