Pre-Meeting Questionnaire

This questionnaire is designed to help us prepare a program that is specifically tailored to the needs of your group. Please take a moment to fully answer all the questions.

Please send me as much information as possible to help increase my understanding of your organization. This includes association magazines, news releases, newsletters or other information you feel would be of value to me. This can be attached at the end before you submit the form.

* Required Fields

Contact Information
Meeting Planner Name*
FirstLast
Organization*
Address*
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone*
Fax
Email*
Website
Other Contacts (Alternative Contact or for Emergency)
Name
FirstLast
Phone
Email
Program Logistics
Conference Start Date
Conference End Date
Date of Program
Exact Time Of Clara's Presentation
Speaking Time Allotted
Where Will Clara's Program Be Held?
Hotel or Venue Name
Meeting Room Number
Address
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry
Phone
Fax
Email
Program Events
What awards or announcements are there?
Will there be a meal served before or during the program?
Will there be an open bar before or during the program?
Will you be using Image Magnificaiton (IMAG)?
Will a video crew be on site?
Video Crew Contact Name
FirstLast
Phone
Email
Is there a scheduled function the evening prior?
Please describe the function's nature, scheduled time, location, and appropriate dress:
Audience Analysis Information
How many attending?
% Business owners:
% Employees - management level:
% Employees - staff level:
Average lenth of time in business
Are spouses invited?
From which States (US) or from which Provinces (Canada)?
From which Countries (if International)
Names and positions of the most senior level people who will be attending?
Name
Position
Name
Position
The Program
What is the program theme?
What type of meeting is it? (e.g. annual meeting, awards banquet)
Please list two major results you would like to achieve from:

* Your Conference
1.
2.
* Clara Chorley's Program
1.
2.
What would make Clara Chorley’s program truly outstanding for you?
Are there any specific issues or topics you think I need to discuss during the program?
Key issues to avoid if any:
Name and title of the introducer:
What takes place immediately after Clara Chorley's program (break/another speaker/nothing)?
If other speakers are on the program, who are they and what are their topics?
What professional speakers have you had in the past?
Speaker
Year
Speaker
Year
What did you like or dislike about their presentation?
Would you like Clara Chorley to autograph her books for your group after her program?
- No
- Yes
If yes, please check if you would like to:
- Pre-purchase books as a gift for each member
- Have books shipped to the site for sale
General Background Information
What’s been happening in the last six months?
Major Changes?
Traumatic incidents?
Significant accomplishments?
What are some of the current challenges experienced by your industry/organization/people?
What are the top three challenges faced by the people who will be in my audience?
1.
2.
3.
What are the 3 most important things Clara Chorley should know about your group?
1.
2.
3.
With what jargon should Clara Chorley be familiar with? (Acronyms, titles)
Who are your 3 major competitors?
1.
2.
3.
Please list 3 people who represent the typical audience member, with whom Clara Chorley can speak with in advance:
Person 1
Phone
Email
Person 2
Phone
Email
Person 3
Phone
Email
Comments?
Attachment

Pre-Meeting Questionnaire

Pre-Meeting Questionnaire

Contact Information

Other Contacts (Alternative Contact or for Emergency)

Program Logistics

Where Will Clara's Program Be Held?

Program Events

Audience Analysis Information

The Program

General Background Information

What People Are Saying