This questionnaire is designed to help us prepare a program specifically suited to the needs of your group. Please take a moment to answer fully all the questions and return the form to our office. Thank you for your help!
Special Request: Please send all available printed material on your company, division, employees, and product/service line.
(If additional space is needed, use a blank sheet of paper and attach it to this questionnaire.)
What is the theme of your meeting?
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What are the top three challenges or problems faced by the members of your group?
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What, approximately, are the characteristics of your average member?
Age:____________ |
Occupation: ___________________ |
Sex: ____________ |
Annual personal income: _________ |
Educational background:_____________ |
Will there be any special guests? Please explain:
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How many people will be in the audience? __________
Why is your group attending this meeting? _____________
How will they be notified?__________________________
What is their overall opinion regarding the subject, for example, favorable, hostile, etc.?
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What three facts should I know about your group before addressing them?
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What speakers have you used in the recent past and what did they discuss?
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What programs/speakers have been most enthusiastically received?
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Please list the names and positions of three people in the organization who are well known and well liked within the group, who will be present at the speech, and who I can joke with or call on if the need arises.
Name ___________ |
Position _________ |
Name ___________ |
Position _________ |
Name ___________ |
Position _________ |
What are the three most significant events to have occurred in your industry, or within your group, during the past year?
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Please share with me any "local color" you can think of relating to the location where my speech will be held.
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Please share with me any "industry color" you can think of relating to your organization or industry.
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Specifically, what are you trying to accomplish at this meeting?
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What are your specific objectives for my part of the meeting?
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Are there any issues/topics in particular that you think I should discuss during the program?
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Are there any issues/topics that you think I should avoid during the program?
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Do you have any suggestions to help me make this presentation the best your audience has ever heard?
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