Preprogram Questionnaire

Click below for pdf pre-program questionnaire

Meeting planner friendly PDF pre program questionaire

CHARLES FLEISHER THE OPPORTUNITIES GUY

PRE-PROGRAM QUESTIONNAIRE

Charles Fleisher is looking forward to sharing his programs in order to help you create a successful meeting. His presentation and educational materials will provide you with impact and long term take home value for your attendees. This questionnaire is designed to help us prepare a customized presentation.

Please answer all applicable questions and return to:

Charles Fleisher

621 Shrewsbury Ave., Shrewsbury, NJ07702.

Charles@theopportunitiesguy.com

Fax #732-414-2496

Phone Number 732-895-2610

With the items checked in #19.

ORGANIZATION: _______________________________________________________

Day & Date of Presentation: _______________________________________________

1.

What are your specific objectives/results desired for my session?

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

2.

What is the specific purpose and theme of this meeting (annual meeting, awards,

etc.)

________________________________________________________________

3.

What is the mission/philosophy statement for your company/organization?

_________________________________________________________________

_________________________________________________________________

3a.

Are you announcing any new products, services or other changes at this meeting?

_________________________________________________________________

_________________________________________________________________

4.

What are some current problems/challenges/breakthroughs experienced by your

organization or industry?

 

Type to enter text

_________________________________________________________________

_________________________________________________________________

5.

What are the top challenges faced by people who will be in the audience?

_________________________________________________________________

_________________________________________________________________

5a.

What do you think they have to do to overcome these things?

_________________________________________________________________

_________________________________________________________________

6.

Has the audience’s business, industry or job changed in the last 5 years? If so,

how?

_________________________________________________________________

_________________________________________________________________

7.

Special jargon/terminology to use? _____________________________________

_________________________________________________________________

Issues/terms to avoid? _______________________________________________

____________

__

____________________________________________________

8.

An executive, manager and/or employee I might contact to get additional

perspective:

Name____________________ Title________________ Telephone #___________

Name____________________ Title________________ Telephone #___________

Name____________________ Title________________ Telephone #___________

6118

9.

Number of people attending ______________________

10.

Previous speakers used:

Name___________________________ Topic ____________________________

Name___________________________ Topic ____________________________

11.

What takes place immediately before/after my program (speaker, meal break, etc.

If another speaker, please indicate topic)

Before: ___________________________________________________________

After: _____________________________________________________________

12.

Meeting Time: Begin: _______________ End: ________________

My program: Begin: _______________ End: _______________

13.

Name/title of my introducer: ___________________________________________

Name and title of senior executives:

Name _________________________________ Title _______________________

Name _________________________________ Title _______________________

14.

Meeting location:

Address: ___________________________City: _________________________

Hotel/Address Tel. No: _______________________________________________

_________________________________________________________________

Closest Airport (# miles from site): ______________________________________

15.

Top people to recognize in audience:

Name ___________________ Title _______________ Reason _______________

6118

Name ___________________ Title _______________ Reason _______________

Name ___________________ Title _______________ Reason _______________

16.

How do I get from airport to site? Limo Co. Name: _______________________

Other: ______________________ Phone No.: ____________________________

17.

When, where, who and how should Mitchell contact upon arriving at hotel?

_________________________________________________________________

18.

Emergency Contact? Name: __________________________________________

Bus# _________________________ Home # ____________________________

cell# _________________________

19.

Please send me the following information via link, fax or mail (if available):

___ annual report

___ company newsletter/paper/flyer

___ key product brochures

___ meeting agenda/invitation

___ special promotions/campaigns

NOTES: What can you add which might help us do an even better job?

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Send completed form to:

Charles Fleisher

621 Shrewsbury Ave., Shrewsbury, NJ07702.

Charles@theopportunitiesguy.com

Fax #732-414-2496

Phone Number 732-895-2610

 

 

 

Be Sociable, Share!
To hire Charles Fleisher - The Opportunities Guy - Call 732-895-2610 Or e-mail charles@theopportunitiesguy.com