Barbara's Pre-Program Questionnaire

By taking the time to complete this questionnaire you will enable Barbara to fine-tune her presentation(s) to the exact needs of your group. Feel free to skip over any questions which would merely duplicate answers to previous questions or that might be irrelevant due to the nature of this program. If you don't want to fill it out, that's OK too. Barb will give you a call to discuss details. Do what ever is easiest for you. We will do the rest!

THANKS!

Program Session Information

Event:

Presentation Date:

Presentation Start time:

Presentation End time:

Title of Program:

Room Set up:

Participant Demographic:

What's happening...

...before Barb presents:

...after Barb presents:

Special Notes for Barb:

General Information

Program Sponsor:

Executive Director:

Address:

Telephone:

Email Address:

Fax:

Website Address:

Mission Statement:

Name of Person completing questionnaire:

Email Address:

Phone Number:

Affiliation with Program:

Conference/Program:

Theme:

Dates:

Location:

Approx. # Attending:

Program (overall):

% Female:

% Male:

Titles of Attendees:

Groups of Attendees:

Agency / Organization / Industry Profile

What are some problems/breakthroughs/ challenges currently experienced by your company or organization?

What changes have taken place in your organization / industry in the last few years?

What changes do you anticipate in your organization / industry in the near future?

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

What is on the minds of the participants? What makes them lay awake at night?

Are there any sensitive issues? If so, what?

Any controversial issues? If so, what?

Any topics / subjects NOT to be mentioned? If so, what?

What is unique about your group?

What slogans / phrases / sayings do participants frequently use?

Please list any in-house or marketing specific language, jargon, phrases, or words applicable to your group that might be incorporated into Barb's presentations:

What is this group particularly proud of accomplishing as an organization?

Specifically, what "local color" could Barb use in her presentation? This could be anything: new policy, an in-house buzz word, a local drinking place, poor food, a familiar tradition, local weather, or achievement of a top official in your organization.

Let's assume the event is over. As you look back, what needs to happen for you to feel that is was successful and a good investment was made bringing Barb in to speak?

Specific Objectives for Barb's Presentation

Any seeds you would like Barb to plant?

If not answered in any other question, list the 3 most important things Barb should know about your group.

What could Barb do to add a special touch to the program(s)? How could she go "the extra mile" for this audience?

Top People to recognize in the audience: (include name, title, reason)

People to "poke fun" at: (include name, title, reason)

Please list past speakers and their topics for this event:

What did the group like about each?

What did the group dislike about each?

Does your group have other favorite speakers? Why are they a favorite?

Who will introduce Barb? (name & title)

Barb would like help distributing handouts prior to her session(s). Will there be a Room / Session Host? If so, who?

How should this person be contacted?

Feel free to send Barb any printed information you feel would best help her understand your organization. Please include a copy of all memos, program announcements, brochures and other promotional materials relating to this presentation so Barb's program will be consistent with it. In addition and if available, any annual reports, a company/organization newspaper, paper, flyer or any key brochures would be appreciated.