Scott Friedman's Pre-Program Questionnaire

This questionnaire is designed to help us prepare the best possible customized presentation.

Please return to us no later than_____________________. Thank you!

Name of Group:____________________ Date of Presentation:______________

Meeting Time: Begin___________ End___________
My Program:  Begin___________ End___________

Meeting Location:_________________________________________________
Address: _________________________________City:___________________
Hotel Address:_____________________________Phone#: ________________

Closest Airport:_____________________________#miles from site__________

 

Approximate Number attending meeting:_____  f_____(%)  m_____(%)

 

What type of meeting or conference is this? _____________________________

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What is the theme of the conference, if any? _____________________________

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Background on organization and/or enclose martial: _______________________

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Current breakthroughs & challenges within the organization:_________________

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

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If there is a special program or project you are currently conducting within your

organization, please briefly describe its name, nature, and any accompanying slogans:

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Please list any marketing specific language, jargon, phrases, or words applicable

to your group that might be incorporated into this presentation:

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Overall objectives of meeting or conference: ____________________________

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Specific objectives for Scott's talk:  ___________________________________

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Any seed you would like Scott to Plant:   _______________________________

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Top People to recognize in the audience or people to poke "fun" at:

Name:__________________ Title:_____________ Reason:_______________

Name:__________________ Title:_____________ Reason:_______________

 

Schedule - What's happening before and after talk? _______________________

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Will there be other speakers?_______Topics:___________________________

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Please list past speakers: ___________________________________________

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Introducers - (name & title):_________________________________________

Note: Please send a copy of all memos, program announcements, brochures, and
other promotional materials relating to this presentation so our presentation will be

consistent with your promotion.


Thank you very much for your time! We are looking forward to a great event!

nsa.gif (4448 bytes)President of the National Speakers Association 2004 - 2005