Questionnaire


PRE-PROGRAM QUESTIONNAIRE & LOA Our goal is to be the easiest and most flexible trainer or presenter you have ever worked with. All of our requests are meant to assist you in increasing the impact of Ronald's presentation. Please let us know if any of these requests either create a problem for your meeting planning or cause you concern. We will immediately work together to create your desired outcome. I. LETTER OF AGREEMENT a. Client b. Mailing Address: c. Name and title of contact person d. Phone number of contact person Fax e. Date of program Time Start: End: f. Place program is to be held g. Title of Ronald's program h. Agreed speaking fee for program [Approved itemized expenses billed separately] i. Signature of acceptance II. THE PROGRAM a. What is the theme and purpose of this meeting? (i.e., annual, awards, regional, etc.) b. What are your specific objectives for Ronald's presentation? c. What particular issues do you want Ronald to discuss during the presentation? d. Are there any sensitive issues that should be avoided? e. Who will introduce Ronald? f. Will there be a coffee break? How long? g. What takes place immediately before and after Ronald's presentation? Before: After: h. Who are the other speakers on the program with Ronald (if any), what are their topics? I. Please list two or three people who are well known and well liked who we can "pick on" (in fun). What is their title? What is particularly interesting or funny about them? Would you please give us their names and phone numbers. Ronald will call and visit with them to get a better feel for your group! (This is very important! Questions? Call 256-724-2444) j. Do you have any other suggestions to help Ronald make this program your best ever? III. AUDIENCE ANALYSIS a. Number of attendees? Are their spouses invited? b. Number of men? Women ? Average Age? c. What are the job responsibilities of the audience members (executive, front line, etc.)? d. What are the names and titles of your top people who will be at the meeting? IV. GENERAL BACKGROUND INFORMATION a. What are some current challenges experienced by your industry, organization, people? b. What areas are ripest for improvement? c. What are the most significant events to have occurred in your industry, organization or group in the last year? d. Please share with us any "industry color" or "in-house" jokes. e. Is there any other information Ronald should know before addressing your group? Please send any material you feel will help Ronald get to know your organization better. (i.e., newsletters, trade publication, material from last such meeting, list of officers, etc.) V. ROOM SET-UP REQUESTS · Wireless lavaliere microphone - Only needed if you expect over 50 attendees or unusually large room · Oversize projection screen – Ronald prefer to use computer projection software for all of their presentations. He will bring his own computer and projector. An oversized screen makes the projected images easier to read, resulting in better retention of ideas. A small table will be needed in the front of the room - This table will also be used to hold Ronald’s computer and projector. Additional Tips And Suggestions To Help Maximize Your Meeting Room Set Up: · To maximize your attendees comfort (and learning opportunities), we suggest you have your attendees seated "class room" style with tables in the shape of a chevron. Round tables are also acceptable if you remove 3 or 4 chairs so all attendees can face forward comfortably. If using classroom set up, try placing 2 people to a table rather than 3. This allows your attendees to sit at the table without having to straddle the table legs. Due to the computer projection, it is a great help to have the lighting around the screen area dimmed but maintain full house lights during the program. If there is enough space within the meeting room, keeping the coffee break food and drinks in the back of the room would be greatly appreciated by your attendees. VI. ON-SITE LOGISTICS AROUND YOUR PROGRAM Are there any special events/dinners/receptions you would like Ronald to attend? Type of function: Date: Time: Attire: Location: VII. RONALD'S HOTEL ACCOMMODATIONS a. Hotel where Ronald will be staying: · Hotel address: · Hotel phone #: · Hotel confirmation #: · Date of arrival: Date of departure: b. How far is the hotel from the airport?: c. Is your meeting being held at?: Distance from hotel to meeting site: d. Ground transportation from airport to the hotel. Will Ronald be met? e. Emergency contact name: · Business phone #: · Cell phone #: To help prevent automated spam, please answer this question * Using only numbers, what is 10 plus 15?