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Pre-Program Questionnaire
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Thank you for taking a few minutes to fill out this questionnaire. It helps me get a better feeling for the group I will be addressing and what might be going on with your organization. If you would rather "talk" this out, please give me a call and we can go over it on the phone. Thanks.

Name of Company or Group:
Your Email Address:
Nature of business:
Occasion for this meeting:
Attire for attendees:
Number expected:
% Male
% Female
% Management
What will be happening immediately before and after my presentation? (Please send a program agenda when available.)
Please list some descriptive job titles of participants:
Average educational level of participants:
What are the real "headaches" going on in this industry or your particular company or association at this time?
Please list a few industry related "gripes" that you might hear on a typical day on the job:
Please list a few things that would make your participants happy on the job.
What would you like me to accomplish during this presentation? For example, if you are asking for a "motivational" talk, what specific changes are you hoping to see in the participants? (e.g., better sales, happier customers, more fulfilled employees, etc.)
What percent humor to message/content do you prefer?
Please add anything else you think I need to know about your group or industry while preparing my presentation. The more I know, the better!!

Thanks!


Bobbie Staten
3224 Green Level Road West
Cary, NC 27519
1-919-387-3838
1-919-363-0998 (Fax)
Email: bobbie@bobbiestaten.com