Pre-program Survey

These questions are designed to help me custom tailor presentations to suit the needs of your attendees. Please take a moment to answer all the questions fully.

If you'd prefer, you may download a form to complete it offline and email it to me.

pre-program_survey.pdf
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Contact me if you have any questions completing this form and I'll walk you through it.

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Pre-program Survey

* Indicates required field

Your name *

First

Last

Name of event *

Date of event *

1. Total number of attendees expected *

Male (estimate) *

Female (estimate) *

2. Age estimate by percentage: 18-29 years (%) *

30-44 years (%) *

45-64 years (%) *

Over 65 years (%) *

3. Educational background: no college (%) *

College graduates (%) *

Advanced degree (%) *

4. What are some job titles or descriptions of your attendees? *

5. Will there be attendees who do not fit the general group make-up as described above? Please explain: *

6. Will attendees be from: *

One specific region Many geographical locations

Which area(s)? *

7. How do you see my presentation fitting in with the theme of the event? i.e.: specific objectives or expectations for my presentation based on the topics, titles, and takeaways that caught your eye on the Media Page: *

8. In the past, have you had a speaker(s) that you particularly liked or disliked? *

Why? (names are optional) *

9. How do you want your group to feel when the event is over? *

10. What action do you want attendees to be ready to take when they walk out the door? *

11. List the top 3 challenges or stressors that attendees seem to face, or the top 3 mistakes they make in regards to the topic I will be speaking on. *

12. Is there anything else I should know about these attendees? For example...mergers, relocations, anniversaries, policy changes, pending strike, sensitive issues you're dealing with, challenges, desired breakthroughs: *

Submit

That's it! You've finished this questionnaire. I know it took a little time to complete,
but I assure you that your thoughtful responses are appreciated and will enhance your attendees' experience.

Preparing for a Successful Event

Pre-program Survey

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