Pre-Speaking Questionnaire

1. THE PROGRAM

A. What is your program or convention THEME?

What does the theme mean to your group?

B. What kind of meeting is it? (seminar, annual meeting, awards banquet, convention etc.?)

C. Who is responsible for calling this meeting?
(HR, Sales, Marketing, Association)

Name *

Title

Email *

Business Phone *

Cell Phone

D. What is the name of Dr. Ernst’s introducer?

Name

Title

Business Phone

Cell Phone

E. Date your meeting begins.

Date your meeting ends.

F. Exact times of Dr. Rick’s presentation?

(Please attach program agenda)

Starting

Ending

G. Dr. Rick’s speaking attire should be:

Business Casual

Business

Formal

Other

H. What takes place immediately before and after Dr. Rick’s presentation and for how long (another speaker, meal function, break, etc.)?

Before

After

I. Which company executives, or other speaker if any, will be speaking before Dr. Rick?

Please forward transcripts (outline) of their speeches for Dr. Rick to read and use to tailor his presentation.

J. Who spoke at your meeting last meeting?

Speaker’s Name

K. Why did you choose Dr. Rick as a speaker for your event?

L. What are your specific objectives for Dr. Rick presentation?

M. Are there any sensitive issues to avoid?

N. Are there any key messages you would like to reinforce?

2. LOGISTICAL INFORMATION

A. What is the nearest (Major Airport) to the meeting site?

Distance to meeting site? Miles

Drive Time

B. What is the nearest (Executive Airport – used for Private Jets) to the meeting site?

Distance to meeting site? Miles

Drive Time

C. Please provide a Towncar for Ground Transportation to/from the airport and the meeting site:

Driver will meet Dr. Ernst at the airport.

Where?

N/A (Local Meeting) Other

D. Exactly where is the meeting?

Hotel/Convention Center

Address

City

State/Province/Region

ZIP/Postal Code

Phone Number (if outside of North America please include county code)

Fax Number

E. What is the name of Dr. Rick’s hotel and his reservation Confirmation Number?
Dr. Rick is 6’ 4” tall, please reserve a KING-bed and a non-smoking room, guarantee for late arrival.

Hotel name and Reservation Confirmation Number

Name of Meeting Room Where Dr. Rick Will Be Speaking?

F. If Dr. Rick has any problems/emergencies on his way to the program, who should he contact? (Please include business, cell and home phone and email)

Name

Business Phone

G. Cell Phone

Home Phone

H. Dr. Rick typically prefers to have a light dinner from room service and retire early the night before his presentation. However If there is a scheduled event at which his attendance is important, please let us know time, place, and appropriate dress:

I. When is the best time for Dr. Rick to do his A/V and speaking room check?

Option # 1 (Date and Time)

Option # 2 (Date and Time)

J. Will you be using Image Magnification (IMAG)?

Yes

K. Will you be using Power Point?

Yes

L. Will there be a video crew onsite?

Yes

If So, What Is The Company Name?

Contact Person:

Phone:

3. AUDIENCE ANALYSIS

A. Audience:

1. Number of People Attending?

2. Are spouses invited?

Yes

3. Percentage of Males/Females

Male Percentage

Female Percentage

4. Average Age of Group?

5. What other information should Dr. Rick know about the Audience?

B. Toward which group should Dr. Rick primarily direct his presentation?

C. Who are the people within your organization responsible for the following:

(1) President/Exec. Director Name

Name

Exact Title

E-mail address

(2) V.P. of Sales/Marketing

Name

Exact Title

E-mail address

(3) Sales Training Manager

Name

Exact Title

E-mail address

D. Current Challenges / problems experienced by your company's industry?

E. If Dr. Rick could leave your group with two thoughts, what would they be?

4. GENERAL BACKGROUND INFORMATION

A. What three main things should Dr. Rick know about your group?

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2
3

B. Is there any jargon Dr. Rick should be familiar with (acronyms, titles)?

C. Do you have any key phases you often use?

D. On which target markets/industries does your organization primarily focus?

E. Who is your typical customer (i.e.: C.F.O., V.P. of HR, Purchasing Agent)?

F. What is the primary product/service that you sell?

G. Who are your major competitors?

H.What internal sales training program do you use to train your sales force?

I. What is your organization/company most proud of?

J. What is your organization/company mission statement?

K. Using only three adjectives please describe the kind of speaker who has been a big hit with your group.

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2
3

L. Any additional comments or information that would be helpful to Dr. Rick in tailoring his presentation for your group?

M. How did you hear about Dr. Rick? (Check any that apply)

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To submit the above details, simply click the send button below.

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