Event Questionnaire

The key to a memorable event is customization. People don't want to hear something they've heard a million times from someone else. They want content that is original and fresh and can change their lives for the better. Please take a few minutes to complete the following questions. In order to provide you with the best value, I customize the program based on this information. 

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Email *
Name of organization *
Date of event *
MM
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DD
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YYYY
Time of event *
MM
/
DD
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YYYY
Presentation Style (please choose one) *
Room Set-up *
Stage with Riser *
Length of Presentation? *
What are the objectives of your meeting? *
What are the company's greatest challenges right now? *
Do you think this organization has any blind spots concerning this challenge? If so, what are they? *
What do you want to walk away with knowing after the presentation? *
What other key people will be in the audience? *
What is the theme of your event? *
What will be taking place immediately before/after the event? *
What else should I know about your organization that would make this program more meaningful?
What else should I know about your organization that would make this program more meaningful?
Who can be contacted in case of an emergency or problem immediately prior to the event? Please include name, phone number and email address
You have shared your valuable time with me, and I appreciate it very much! The presentation is greatly benefited by your input. Please fill out this form and click "send" when complete. The form will be sent to me directly and a copy will be sent to the email address provided. 
A copy of your responses will be emailed to the address you provided.
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