Pre-Event Questionnaire

At your convenience, please complete the following pre-event Questionnaire so that I may properly research and customize your program to meet your specific needs.

Question Title

* 1. Client Name:

Question Title

* 2. Name of Your Group/Organization:

Question Title

* 3. Website Address

Question Title

* 4. The title of your event, conference or retreat

Question Title

* 5. Is there a theme or focus? Please elaborate.

Question Title

* 6. Date(s) to be held:

Question Title

* 7. Location of event:

Address

Phone

Website

Question Title

* 8. Explain your agenda and breakout sessions, including times:

Question Title

* 9. What will take place before Meryl’s presentation?

Question Title

* 10. What will take place after Meryl’s presentation?

Question Title

* 11. What are your three most important objectives for Meryl’s presentation(s)?

Question Title

* 12. What would make Meryl’s presentation more meaningful to your group?

Question Title

* 13. What have you liked most about speakers you have had in the past?

Question Title

* 14. What will be the attire for your organization’s attendees at this event?

Question Title

* 15. About the Audience

Your input here is helpful to better understand the dynamics of your organization’s specific culture and group make-up. It does not in any way affect the content of the program. It simply helps me as the presenter to better serve your specific audience.

Estimated number of attendees

Percentage of males/females

Percentage of senior or executive level leaders

Group age range

Question Title

* 16. About Your Organization or Group

Describe your organization’s culture.

Question Title

* 17. What are the greatest challenges your organization or group is currently facing?

Question Title

* 18. Who are your primary competitors?

Question Title

* 19. The person who has completed this questionnaire:

Name

Date

Phone

Question Title

* 1. Client Name:

Question Title

* 2. Name of Your Group/Organization:

Question Title

* 3. Website Address

Question Title

* 4. The title of your event, conference or retreat

Question Title

* 5. Is there a theme or focus? Please elaborate.

Question Title

* 6. Date(s) to be held:

Question Title

* 7. Location of event:

Question Title

* 8. Explain your agenda and breakout sessions, including times:

Question Title

* 9. What will take place before Meryl’s presentation?

Question Title

* 10. What will take place after Meryl’s presentation?

Question Title

* 11. What are your three most important objectives for Meryl’s presentation(s)?

Question Title

* 12. What would make Meryl’s presentation more meaningful to your group?

Question Title

* 13. What have you liked most about speakers you have had in the past?

Question Title

* 14. What will be the attire for your organization’s attendees at this event?

Question Title

* 15. About the Audience Your input here is helpful to better understand the dynamics of your organization’s specific culture and group make-up. It does not in any way affect the content of the program. It simply helps me as the presenter to better serve your specific audience.

Question Title

* 16. About Your Organization or Group Describe your organization’s culture.

Question Title

* 17. What are the greatest challenges your organization or group is currently facing?

Question Title

* 18. Who are your primary competitors?

Question Title

* 19. The person who has completed this questionnaire:

* 15. About the Audience

Your input here is helpful to better understand the dynamics of your organization’s specific culture and group make-up. It does not in any way affect the content of the program. It simply helps me as the presenter to better serve your specific audience.

* 16. About Your Organization or Group

Describe your organization’s culture.