Speaking Questionnaire
To ensure that your event is a success, we've provided this questionnaire to help us prepare a program targeted to the needs of your group. Please take a moment to answer the relevant questions and return the form to our office at least three weeks before the event.
If you have any questions, you can contact Dr. T at:
Email: ellent@aol.com
Phone: (650) 726-9663
Postal: PO Box 152, Half Moon Bay, CA 94019
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Your Name:
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Your Email Address:
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Your organization’s name:
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Information about your needs for a speaker: |
| 1. What is the name and phone number of the person completing the questionnaire? |
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2. Please send us any printed material about your company (brochure, newsletter, strategic goals, etc) which could help Dr. T prepare her program.
Email or snail mail. |
| 3. Please send a copy of the program agenda for your overall meeting. Also, what will be occurring immediately before and after Dr. T's presentation (specific times and sequence)? |
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| 4. What are the top three challenges faced by people who will be in the audience? |
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| 5. How many people will be in the audience? |
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| 6. What is the theme of your meeting? |
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| 7. Are there any issues that you think Dr.T should cover during this program? |
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| 8. Please provide us with an emergency contact and mobile phone number in case of a last minute emergency. |
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| Please keep a copy of your answers to this questionnaire. (If you submit this form via email, you will automatically receive a copy.) |
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