C.C Largent

PreProgram Survey

To help Christy tailor this program to your group’s needs, please take a few minutes to answer the following questions. Please feel free to skip any question that doesn’t specifically apply and please use additional pages if you need more space to respond or provide additional comments. The more complete this survey, the better Christy will be able to customize her presentation for your group.. To download a version of this survey in MSWord format, click here. To print this page, pull down the 'File' menu, select 'Print', then click 'OK'.
Contact Information
Contact Person

Phone

Email

Website

Association or Company Name

Best time for Christy to reach you

Your Program
Presentation Date

Start Time

End Time

Name of person who will be introducing Christy

Title

Phone

What takes place immediately before/after Christy’s program? (Speakers, breaks etc.)

Who are the other professional speakers on this program?

Topics?

Timing?

What is the theme of your meeting?

What is the purpose of this meeting?

Why did you choose this topic for Christy to speak about?

Why now?

What are the biggest issues, problems or challenges participants generally complain about with regard to this topic?

If you were the one presenting this program, what would you make sure you covered? What would be your objectives?

After the presentation, what ideas, themes or objectives would you like to see the participants take with them?

What action steps would you like to see them implement?

What impact do you want this program to have six months down the line?

How do participants feel about the topic Christy is covering?

Are there any potential barriers to the success of this program? Are there any “sensitive issues” or “taboo terms” that should be avoided? If so, please explain.

What programs have worked really well in the past?

What programs have “flopped” in the past?

What else do you think Christy should know about the program before addressing your group?

Is it possible for one or two guests to sit in on Christy’s program?

The Audience
Number attending

Male %

Female %

Average age/range

Average education

Average income

What type of attire will the women in the audience be wearing?
		Business
		Business Casual
		Cocktail
		Other
Are spouses invited?
		Yes
		No
Briefly, what is the nature of the work performed by the audience?

What is special about this audience?

Are there any language, cultural or literacy barriers?

What percentage are non-native English speakers?

What’s the selection process of this audience?

Is it mandatory that they attend?

Did they have a choice of topic?

What are the expectations of the audience?

What is the climate of the audience – serious, playful?

Who are the top people in the audience to recognize?
		(Name, Title, Contribution/Achievement)
Please list the names and contact information for three accomplished professionals within the group that Christy could contact to get additional perspective.

Please list the names and e-mails of 10-15 participants Christy can contact for a pre-program e-mail survey.

What is the purpose and/or mission of your organization?

Your Organization
What were your organization’s major accomplishments in the past year?

What’s unique about your group? (I.e.: seasonal work, special clientele, unusual hours, travel, etc.)

Who are your customers?

Who are your main competitors?

What challenges are facing your organization in the next year?

On a scale of 1-10, what amount of change do you expect to take place in your organization in the coming year?

What are the terms used to refer to your “customers”? (I.e. customer, client, patient, member etc.)

What are the terms used to refer to employees? (I.e. employee, cast, staff, team member etc.)

Please list any specific in-house language, jargon, projects, phrases and/or sayings, buzz-words, acronyms or words applicable to your group that might be incorporated into the presentation.

Are there any inside jokes Christy should know about?

Your industry:

Please give an overview of your industry’s status – locally, regionally, and nationally.

What are major trends in your industry right now?

What are some of the biggest challenges your industry is experiencing right now?

Please share with me any “industry color”. (Anything out of the ordinary.)

What are some hot books in your industry right now?

Logistical Information
Hotel Name and Address

Phone

Email

Christy’s Hotel Confirmation Number

Name of Meeting Room

What time will the room be available for set up?

Where is the nearest Airport?

How far is the hotel from the Airport?

How should Christy travel to the hotel?
		Cab
		Rent a Car
		Driver
		Shuttle
		Other
Would you like Christy to notify someone after she arrives at the hotel?
		Yes
		No
If yes, whom shall she contact?
		(Name, Title, Phone)
Who will be Christy’s contact during the event?
		(Name, Title, Phone)
On-site arrival date

Are there any scheduled functions (i.e. breakfast or lunch) that you would like Christy to attend?
		(Date/Time, Place, Dress, Nature of Event)
In case of emergency, whom can Christy contact on-site of the event or within 24 hours of the event?
		(Name, Home Phone, Mobile Phone)
Other
How is this program being promoted to the group?

Please send a copy as soon as possible, of all memos, program announcements, brochures and other promotional materials relating to this presentation so our presentation will be consistent with your promotion. In addition, any annual reports, a company newsletter / paper / flyer, or any key product brochures you think would help Christy understand more about your group would be appreciated.
Please send the meeting agenda** as soon as possible.
What else should Christy know before addressing your group?

Audience members usually like taking home resources for continued learning (books, CD’s). How would you prefer to handle this learning opportunity?
		Group purchase of materials to deliver at end of my presentation
		Individual purchase of materials at the end of my presentation
		Other
We appreciate the time and effort it takes to provide this information. Christy will review all that you send and use it in determining appropriate and useful content for your program. She will be contacting you after receipt of this questionnaire to confirm receipt. She may have clarification questions for you at that time. Thank you so much!

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