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Pre Meeting Questionnaire
Dear client, 
This survey is designed to help me tailor my program for you. The more complete the information, the better. Please answer just those questions that pertain to your particular session, and return this form no later than three weeks prior to the event. Thanks for your help in making my talk relate to the current challenges, strengths and events of your audience and your association.
Rebecca Nagy
 
Please complete the information below.
 
Company Name:
Your Name:
Event Title:
Phone Number:
E-mail Address:
Company/Organization Web site:
What is the specific purpose of this meeting? (Annual meeting, awards banquet, training.)
What is your conference theme?
What is your company or association's mission statement, vision, motto or slogan?
What are the major job responsibilities of those in the audience?
Please list names and titles of your senior people at this meeting.
Would You Describe the Group As:
What is your organization's major strength? What makes your organization unique? If applicable, what is your company's competitive edge
What are some of the current problems or challenges experienced by your industry/organization/people?
What are the greatest needs of the group?
What are the most significant events to have occurred in your industry, group, or organization during the past year? (mergers, relocations, cutbacks, new product or service, legislation, etc.)
Are there any issues/topics in particular that you think I should discuss during my program? Key issues to avoid (if any)? Are there any subjects, words, phrases or concepts that people are negative about and should be avoided?
What are your objectives for my session? What (3) specific points do you want your people to leave with regarding attitudes, knowledge and skills?
What goals would you like me to reinforce? What ideas would you like the audience to walk away with?
What ACTION would you like to see people take as a result of this program?
What did I not ask that you think I should know?
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