Kim Aycock Conference Questionnaire
Thank you for taking a few minutes to complete this short questionnaire so that I have some baseline information about your conference or event. At the end I will ask you to suggest dates/times to make it easy for us to hop on a call to discuss. I am looking forward to hearing more about how we can work together to make your event AWESOME!
Sign in to Google to save your progress. Learn more
Name: *
Best email address: *
Best phone number:
What type of event is it? *
Required
Name of organization:
Location of event: *
Date/s of event: *
MM
/
DD
/
YYYY
Time of event: *
Time
:
Target audience: *
Required
Approximate size of group: *
Would you like me to give (check all that apply): *
Required
Thoughts on keynote topic/s:
Thoughts on breakout session topic/s:
If applicable, please share website address:
Let's set up a time to chat! Please suggest a few dates/times that are good for you (and include time zone): *
How would you prefer me to contact you? *
Anything else that would be helpful for me to know before we hop on a call? *
Check here if you would like to receive my "Keep-it-Fresh" newsletter with mid-summer tips and tricks for staff to use the moment they get it: *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms