Scott’s Pre-Program Questionnaire

Name of Group

Date of Presentation

Person completing this form

Phone

Fax

Email

Address

Website

Event Link

AV contact person (if you have one)

Phone

Email

How would you prefer I dress
Coat & TieBusiness CasualCasual

What is happening immediately before Scott’s program?

What is happening immediately after Scott’s program?

If this presentation is part of a conference, what is the theme, if any?

Overall objectives of meeting or conference:

Specific objectives for Scott’s talk:

Any seeds you would like Scott to plant:

Female:

Male:

Age range:

General job responsibilities of attendees:

Title:

Name:

Reason:

Title:

Name:

Reason:

Title:

Name:

Phone:

Title:

Name:

Phone:

Any sensitive topics, issues or phrases to avoid?

Mission/philosophy statement for your company/organization:

How does your organization/industry celebrate (include any recognized holidays, achievement awards, special days, rituals, etc.)?

Significant accomplishments this group can be proud of?

What is unique about your group? (ie: seasonal work flow, special clientele, unusual hours, travel, red-tape, communications, etc.)

Main competitors:

Problems / breakthroughs / challenges currently experienced by your company/ industry:

Solutions you see to these challenges:

Changes that have taken place in your organization/industry in the last few years:

Changes you anticipate in your organization/industry in the near future:

Top challenges faced by those in the audience:

Special program/project you are currently conducting within your organization or department, please briefly describe its name, nature and any accompanying slogans:

Phrases/sayings executives frequently use:

Please list any in-house marketing-specific language, jargon, phrases, or words applicable to your group that might be incorporated into this presentation:

Specifically what “local color” should I use in my presentation? This could be anything, such as a new company policy, an in-house buzz word, a local drinking place, poor food, a broken piece of equipment, local weather, or achievement of a top ofcial in your organization: