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.
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.
