Pre-Program Questionnaire

	*Atlantic Speakers Bureau*

Pre Program Questionnaire

These questions are designed to assist the speaker to prepare a program specifically suited to the needs of your group. Please take a moment to answer all the questions fully and e-mail the form to my office. We may have already answered some of these questions based on our initial conversation. Please double check the answers and make additions and corrections.

Any collateral materials (i.e. brochure, promotional video, annual report, etc.) on your company and/or group for the speaker's review would also be of great value.

Appearance Date:

Please complete and return by:

Your Name:

Title:

Company:

Phone:

Fax:

E-mail:

Web Site:

Best time for our office to reach you:

I. The Program

Presentation Title:

Date of presentation:

Time frame?

Start Time: End Time:

Any breaks?

Yes No Approximate Time:

What is on the program just before the speaker?

What happens on the program right after the speaker?

Is there any publicity work that the speaker may help you with while at your event? Yes No

Radio Television Other Type:

What is the program title/theme?

What does this theme mean to your group?

What kind of meeting is it? (annual meeting, awards banquet, etc.)

What are your specific objectives for the speakers presentation?

Are there any sensitive issues that should be avoided?

Who is responsible for calling this meeting? (HR, Sales, Marketing, etc.)

Name:

Title:

What is the name and title of the speakers introducer?

Name:

Title:

What is the introducers phone number?

Work:

Home:

Cell:

What is the exact time of the speakers presentation?

Start:

End:

What is the speakers role in the program? (opening or closing keynote, luncheon speaker, etc.)

Which company executives/industry experts will be speaking at this meeting:

Speaker Topic Day

Who are the other professional speakers on this program?

Speaker Topic Day

What professional speakers have you used in the past?

Speaker Topic

What did you like and/or dislike? Withhold their names if you like but, do comment on the material they used.

Like:

Dislike:

Please share any "local interest" you may know of relating to the location where the program is held?

Please share any "local interest" you may know of relating to your organization or industry?

What comments or suggestions do you have that will assist the speaker in making the presentation the best possible?

II. Audience Analysis

Number Attending:

Spouses invited:

Yes No

Percentage of males to females:

Average age of group:

Average annual income:

Educational Background:

Major job responsibilities of audience?

Will there be any "special guests"? Yes No

Please explain:

Toward which group should the speaker primarily direct their attention?

Why is your group attending the meeting? (voluntary, mandatory, etc.)

How will they be notified?

What is the overall opinion regarding the subject of the speakers presentation? (favorable, hostile, etc.)

Please provide the names of the three main "movers and shakers" in your organization that will be in the audience. who are well known and well liked. The speaker may joke with them or call on them if the need arises. The speaker may also want to contact them for more research information on your group (with your permission of course).

Name: Phone:

Details about your audience.

Problems:

Challenges:

Breakthroughs:

Tell me about your industry/Profession.

Problems:

Challenges:

Breakthroughs:

Tell me about your Organization.

Problems:

Challenges:

Breakthroughs:

Significant events? mergers? Relocations?:

Who are the people within your organization that are responsible for the following:

President/Executive Director.

Name:

Exact Title:

Phone Number:

V.P. of Sales/Marketing.

Name:

Exact Title:

Phone Number:

Sales Training Manager.

Name:

Exact Title:

Phone Number:

What issues keep your C.E.O. awake at night?

What is the single most frustrating thing for your V.P. of Sales/Marketing?

III. General Background Information

What three main things should the speaker know about your group?

On which target market/industry does your organization primarily focus?

Who is your typical customer? (e.g. CFO, VP of HR, Purchasing Agent, Consumer)

What is the primary product/service that you sell?

Who are your major competitors?

Any additional comments or info that may be helpful in tailoring this presentation for your group?

IV. Travel Information

What is the nearest major airport to the meeting site?

Distance to meeting site?

Kilometers:

Time:

For transportation from the airport to the meeting site would you prefer:

To have the speaker met at the airport

Where:

By who:

Emergency phone number:

To have the speaker take a cab

Approximate cost:

N/A (Local meeting)

Other:

If emergency occurs on the way to the site, who would be an alternate contact if you were unavailable?

Name:

Business Phone:

Home Phone:

Cell Phone:

Exactly where is the meeting?

Venue:

Address:

City:

Province/State:

Postal Code/Zip:

Phone:

Fax:

***Confirmation number for speakers room reservation:

Any other comments that would assist the speaker:

Thank you for taking the time to provide this information.