Pre-Event Questionnaire

Thanks in advance for your help! These questions will help me deliver the best program possible to your group. A good rule of thumb to follow: if the answer isn’t obvious to at least 65% to 75% of your group – skip it! In order to be helpful – it has to be applicable to the majority of the group. (I often work with groups where many of these questions don’t apply. So if the question doesn’t fit your group – don’t sweat it! No big deal. Really!) It’s hard to predict which of this information will make it into the program, but having a better understanding of your group and the challenges they face will make for a more customized presentation. The better and more detailed information you can provide the better job I can do for you. Thanks and don’t hesitate to call or email me if you have any questions.

Organization:

Event date:

Event location:

Event Address:

Event time:

: Hour Minutes AM/PM Option

Presentation:

INSPIRATION / MOTIVATION Be Happy, Work Happy. Becasue happy People Make Good Things Happen LEADERSHIP Be HAPPY. Lead HAPPY. Why Happy Leaders Get Results, Not Resistance COMMUNICATION Be HAPPY. Speak HAPPY. Use Positive Communication to Create Happy Teams WELLNESS / LIFE BALANCE Be HAPPY. Live HAPPY. Finding Balance & Staying Happy in a High Demand World

Primary Contact Person prior to event:

Name:

Title:

Office Phone:

Cell Phone:

Fax Number:

E-Mail:

Primary Contact Person at the event (if different than above):

Name:

Title:

Cell Phone:

E-Mail:

Person Introducing Kim:

Email (Kim will send introduction):

What time is Kim scheduled to speak and for how long?

: Hour Minutes AM/PM Option

Until

until : Hour Minutes AM/PM Option

What is the room set up? (rounds, theater, classroom?

Are there any events the night prior?

Is there a theme to the meeting?

What precedes my talk?

What follows my talk?

Expected number of attendees?

Demographic of the audience? (Age range, male/female ratio, sales, technical, management, etc.)

Who does your audience serve? (i.e. Sales - Customers, Teachers - Students, Nurses - Patients)

What is a measurable for your group? (i.e. Hospitals - Patient Satisfaction, Students - Benchmark Scores, Salespeople - Sales Goals)

Please name a specific GROUP or organization that is a major thorn in their side. Please be specific. (OSHA, Review Board, IT Department, State Auditors, etc.)

Are there any changes they are currently going through? (New review process, new mandates, new software, new anything?)

Name any specific challenges this group faces. (internal processes, new mandates, software glitches, sales quotas, etc)

What small things might your group complain about wiht the girlfriends over a glass of wine or buddies over a beer? (the parking, the bad coffee, instant messaging... etc) DIG DEEP!

What exciting or positive thing has happened in the organization or in the industry in the last few months that the majority of the group could relate to?

Is there any jargon or catch phrases for this group that I should know?

Are there any funny or well known stories, running inside jokes or quirky member traits in this industry or within this group?

If your group had a magic wand, what changes would they make? (Hiring more help, improved pay, more appreciation, increased demand for their product etc.)

What are their greatest fears or concerns?

What are they proud of?

Is there anything that I should NOT mention? Any sensitive issues I should know about? (Upcoming layoffs, changes in the industry, major or minor catastrophes etc.)

Complete this sentence: Kim's talk would be a total success if she accomplished the following with our people:

What other speakers have you had in the past?

Who was the most successful and why?

What can I, as an outsider, say, that you cannot? Here’s your big chance! You’ve hired a professional speaker – now take advantage! What is it you want your group to hear? (I can tell them to stop their angry whining or petty back biting… in a nice way of course, and probably even make them laugh about it!)

Is there anything else I should know but didn’t ask about your group, organization or this event?

This is MOST IMPORTANT: Please provide the name, phone number and email address of three individuals who will be at the event. Ideally, these people would provide a variety of the people in attendance.

Thanks so much for taking the time to complete this form! Please return a month prior to the event to allow Kim to customize her presentation to your audience. Call or email if you have any questions.

Contact Information

Event Details

The Audience

Exceeding Your Expectations