We need your assistance. This Pre-Presentation questionnaire has been designed to assist Bruce with the preparation and personalization of his program for your group. Would you please take a few minutes and give us the information that Bruce needs? You can fill it out here and press the send button or download it and fax/mail it. Additionally, we would also appreciate receiving any printed background information such as newsletters, employee booklets, service brochures, marketing material, annual reports, brochures, organizational culture, orientation information, sales/marketing philosophy, mission, vision, core values, etc.

Please return questionnaire to:
Julie Bourgeois
Wilkinson Seminars and Presentations (a division of Workplace Consultants, Inc.)
350 Emerald Forest Blvd.
Suite 24101
Covington, LA 70433
985-249-5234 Fax: 985-249-5235 E-Mail: SpeakPoint@aol.com
Please return by: 90 days prior to presentation

Email Address
Today's date:
Presentation date:
Organization:
Presentation title:
Start time:
End time:
Any breaks?
What is on the program just before Bruce speaks?
What happens on the program right after Bruce speaks?

Meeting Conference/Goals and Professional Concerns

Approach to Bruce's Presentation

Would you provide us with contact information for one or two key people from your group who will be in Bruce's audience? Bruce would like to contact them (with your permission) to gather additional information that may be valuable to his presentation.

Name:
Position/title:
Phone:
Name:
Position/title:
Phone:

Audience/Organization Profile

Estimated # of attendees:
Average education:
Percent of females attendees:	%
Percent of males attendees:	%
Average age and range:
Experience level:
Will spouses be attending?
Titles or positions of people attending:
Percent of managers attending:	%
Dress code for Bruce (i.e., Business, business casual, etc.):
How are attendees paid (hourly, salaried, bonus, commission)?

What is the name and title of Bruce's introducer:

Name:
Title:
Phone:

List the most important things Bruce should know about your attendees:
1.
2.
3.
4.
5.

Is there anything else Bruce needs to know to be able to present the best program for your organization?

Travel Information

Location of presentation:
Address:
Phone:
"No-Smoking" room confirmation number:
Phone # and address of hotel if different from location of presentation:
Closest airport to arrive at:
How will Bruce be transported from the airport to your site (taxi, limo, rental car, other)?
Pickup person's name:
Office Phone:
Home/emergency Phone:
Cell:

When possible, please be sure to guarantee Bruce's reservations for late arrival and have the confirmation sent directly to our office. When possible, please arrange for direct billing for room and tax to you and Bruce will pay for incidental charges and bill you later.

Thank you for your assistance in this matter.

Julie Bourgeois
Client Services Coordinator

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