Pre-Program Questionnaire Submission Form
You've hired Rachel, now what?

In order for Rachel to customize her presentation to meet the specific needs for this event, please fill out as much as you can from this Pre-program Questionnaire. Or, if you would like, you can call Rachel directly at 619-507-9954 to go over the meeting agenda and desired outcomes. Thank you in advance!
Email *
Name of Organization
Website

Date of Rachel's Program
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Primary Contact Person (name and phone #) *
Title
Who will be introducing Rachel?
Please list some speakers you've had in the past.
What works/doesn't work with this audience?
Are there any acronyms, jargon, or phrases Rachel should include in the program?
What is the conference event/theme focus?
Are there any taboo subjects to stay away from?
What is the conference social media hashtag?
What is happening immediately before Rachel's keynote?
What's happening immediately after Rachel's keynote or workshops?
Who else is speaking at this event?
Where is the event taking place?
What is the name of the ballroom or conference room where Rachel will be speaking?
Name of the airport (or airport code) that Rachel should be flying into?
How far is the airport from the event location?
Name of hotel where Rachel will be staying?
Hotel reservation # (if applicable)
Date and time of sound check with A/V team?
Is there a program or reception that you would like Rachel to attend?
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If yes, please provide details of program or reception.  Date, time, dresscode, expectations, specific people you'd like Rachel to meet...
Number of people attending Rachel's program?
Age range of participants?
Who will be attending the conference? (Board Members, Executives...)
Do you have any important DE&I initiatives or accomodations you'd like Rachel to know about and/or incorporate?
Who are the key executives, sponsors, or board members in attendance?
Anything else you'd like to tell Rachel about the audience?
Please provide a brief description of your organization?
Who is your organizations target market?
What is the biggest challenge for your organization/audience members?
Is there anything newsworthy about your organization lately?
What are your three (3) most important objectives for Rachel's presentation?
What ideas/skills do you want your audience to retain from Rachel's presentation?
Rank in order of importance for your audience. Motivation, entertainment, content, or something else.
Is there anything else you'd like to tell me?
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