Pre-program Questionnaire

 

BOOK DIANE for your next event!

 

 

But first we need your help…

This pre-program questionnaire will enable Diane to fine-tune her presentation to the exact needs of your group. Feel free to skip over any answers that would merely duplicate answers to previous questions or that might be irrelevant due to the nature of your program. Your help will increase the value of this program to your audience!

You may copy and paste this questionnaire into your word processing program, or you can select from the following two formats: Pre-Program Questionnaire in Adobe Acrobat Reader. PDF format (25kb) or Microsoft Word .doc format (202kb).

Then fax this document to Winning Image at 561-733-0928 or e-mail Diane at  Diane@WinningImageSeminars.com.

Your contact information is private and confidential and will be retained exclusively by us for essential communications with you. 

 

PRE-PROGRAM QUESTIONNAIRE:

Your Name:

Phone:

Title:

Fax:

Company/Organization:

Website:

Best time for Diane Schwartz or Representative to reach you:

 

I. YOUR PROGRAM

1. What is the meeting theme?

2. What is the specific purpose of this meeting?

3. What type of meeting is it? (Annual meeting, training, education, awards ceremony, etc.)

4. Who (if anyone) is on the program just before Diane and what is their presentation topic?

5. Who (if anyone) is on the program right after Diane and what is their presentation topic?

6. Which company executives and/or industry experts will be speaking at this meeting?

 

II. THE PRESENTATION

1. What is Diane’s role in your program?

2. What are the exact times for Diane’s presentation?
Start Time:                                                        End Time:

* Please send us a copy of the meeting program and agenda so he can see how his program fits in. Thank You!

3. How will most of the attendees/audience be dressed?

4. How will the executives be dressed?

5. How should Diane be dressed? (suit and tie; sport coat and open collar shirt; slacks and shirt; other)

6. Who will be introducing Diane to your group?

7. What is most important to you concerning the content of Diane’s program?
(i.e. use of examples, exercises, handouts, etc.)

8. What is most important to you in the working relationship with Diane?

9. What themes/threads (other than the primary topic of Diane’s program) would you like to see woven into the program?

10. When your people leave the program, what three concepts/skills/ideas would you like them to have?
1.
2.
3.

 

 III. THE AUDIENCE

1. Number in the audience:         Are spouses invited?

2. Male/Female Percentage: M                     F

3. Average age of attendees? 

 

IV. BACKGROUND

1. What separates your high-achievers from the others?

2. What are some of the challenges your organization and your people/members face on a day-to-day basis?

3. What areas of challenge pose the greatest opportunity for improvement?

4. What are the most significant events that have occurred, and that have affected, your industry, organization, or group during the past year? (i.e. mergers, downsizing, etc.)

5. What is the primary product or service that you offer?

6. What are the two most important benefits you offer to your customers?
A.
B.

7. What are two or three achievements of which your organization is most proud?

Name five key people in your group who will be at the program. With your permission, Diane may want to contact them to discover more information about your group.

Name / Telephone #
1.
2.
3.
4.
5.

 

V. LEARNING TOOLS

Most audiences want something to help them continue learning after the presentation. What do you prefer?

  • Follow-up sessions and/or individual consultations
  • Customized workbook

How do you wish to handle these?

  • Purchase at quantity discount to distribute to participants at the event.
  • Offer learning materials to participants for purchase at the event.
  • Let participants order the materials from Winning Image after the presentation.

 

VI. LOGISTICAL INFORMATION

1. Hotel or Location Name & Address

Phone:
Fax:

2. Hotel Confirmation Number:

3. Name of meeting room:

4. Into what airport should we schedule Diane’s flight?

5. How far is the hotel from the airport?

6. How should Diane travel to the hotel? (Take cab, rent car, driver will pick up, etc.)?

7. Would you like Diane to notify someone after he arrives at the hotel? If so, whom shall he contact:
Phone:

8. Contact at meeting site:
Name:                                                        Title:                                                                     Phone:                                                             On-site arrival date:

9. Are there any pre-meeting engagements (i.e. breakfast or lunch)? If so, where and when are they scheduled:

 

For more information on having Diane speak at your next meeting or event, contact Winning Image at 561-733-0982 for availability and bookings.