ELAINEWILKES.COM
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PRE-PROGRAM QUESTIONNAIRE

This pre-program questionnaire is for Elaine Wilkes's Presentation ______________ on __/__/___.
These questions are designed to help us prepare a program specifically suited to the needs of your group. Please take a moment to answer all the questions fully and email back to Elaine@ElaineWilkes.com as soon as possible.
We would also appreciate receiving any printed information on your group that may help us with background information, (e.g., corporate reports, news items, in house publications, services, employees, etc.). Thank you for your help!
If you have any questions please call 310 447 8446. 
THE PRESENTATION
Presentation title:
____________________________________________________________________________________________ 
Time Frame? Start time: _______________End Time:____________________Any breaks? Y N 
What is on the program before I speak?
____________________________________________________________________________________________ 
Appropriate dress for the presentation?
____________________________________________________________________________________________ 
Conference title and theme?
______________________________________________

Specific purpose of this meeting/session (e.g., awards, banquet, annual meeting, etc.)
______________________________________________ 
Specific objectives for my presentation?______________________________________________ 
____________________________________________________________________________________________
____________________________________________________________________________________________ 
Sensitive issues that should be avoided:
____________________________________________________________________________________________ 
Introducer's name?____________________________________________________________________________________________ 
Introducer's Phone number: ____________________________________________________________________________________________ 
Who are the speakers and topics on the program?
____________________________________________________________________________________________ 
____________________________________________________________________________________________ 
What speakers have you used in the past that covered topics related to the material I will be presenting?
____________________________________________________________________________________________ 
____________________________________________________________________________________________ 
What did you like and/or dislike? Withhold their names if you like, but do comment on the material they used.
____________________________________________________________________________________________ 
____________________________________________________________________________________________ 
____________________________________________________________________________________________ 
What comments or suggestions do you have that will help me make this presentation the best your audience has ever had?
____________________________________________________________________________________________ 
____________________________________________________________________________________________ 
____________________________________________________________________________________________ 
THE AUDIENCE
Total attending?__ _________Spouses or children attending?_________
Percentage male/female?__ ________Average age? __________

Average annual income__________
Educational background__________
Major job responsibilities of audience__________

Will there be any special guests?
______________
Why is your group attending this meeting (Voluntary mandatory, etc.)?
____________________________________________________________________________________________ 
____________________________________________________________________________________________ 
How will they be notified?
____________________________________________________________________________________________ 
____________________________________________________________________________________________ 
DETAILS ABOUT YOUR AUDIENCE
Problems?
____________________________________________________________________________________________ 
Challenges?
____________________________________________________________________________________________ 
Breakthroughs?
____________________________________________________________________________________________ 


TRAVEL INFORMATION
Location of presentation and venue name
____________________________________________________________________________________________ 
Address
____________________________________________________________________________________________

Phone
____________________________________________________________________________________________ 
Location at the site (room name, etc.) and time zone.
____________________________________________________________________________________________ 
Airport to arrive at
____________________________________________________________________________________________
How will I be transported front he airport to your site?
Taxi? __________ Rental Car? __________ Driver? __________
Driver's Name__________Phone __________
If an emergency occurs ont he way to the site, who would be tan alternative contact if you're unavailable?
Name and Phone:
____________________________________________________________________________________________ 
Thank you for taking the time to provide this information. I will use it to prepare an outstanding presentation for your group.



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  • Home
  • Frequency Tech
    • Science
    • About Frequency Technology
  • Training
    • 1 Start H ealy
    • 2 Resonance Videos
    • 2 Resonance Pictures
    • 3. Start Aura
    • Troubleshooting
    • FAQ
    • Programs
    • The Watch-Get Started
    • Just Ordered
  • About Elaine
    • Elaine's Books >
      • War is Personal
      • Nature's Secret Messages1
      • Rich
      • Awesome Things
  • Digital Nutrition
  • Blog
  • Services