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Bruce S. Wilkinson, CSP
Pre-Presentation Questionnaire
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,
guiding principles, 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
Today's date:_____________________________
Presentation date:__________________________
Organization: _____________________________
Presentation title: __________________________
Start time:_______________________ End time for Bruce:______________________
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
What is the purpose and/or theme of this meeting, conference, annual
program, awards
banquet, training program, etc?)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What are the major goals of this meeting/program?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What is your organization's/association's purpose, philosophy,
specialty, market or product?
Who is your customer?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What are the biggest challenges/changes facing your industry and/or
organization?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What are the biggest challenges/changes facing our audience/attendees?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What are you particularly proud of as an organization, industry,
agency or institute?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Are there any major buzz words or technical terms Bruce should
be aware of?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Are there any taboo topics, issues or items that Bruce should be
aware of?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Who is the most respected among your audience?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Does your organization have an employee assistance program (EAP)?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Approach to Bruce's Presentation
What main concept, piece of knowledge or "how-to" do you
want the attendees to retain
as the result of this presentation?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
How do you want the attendees to feel after hearing Bruce? (I.e.,
good about themselves, the
organization, proud of their work, product, ready for change, etc.)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What action or behavior would you like your attendees to stop,
continue or begin as the result
of Bruce's presentation?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Can you provide a few names of other speakers who have presented
at this event?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What did you like or dislike about the style, content or delivery
(we do not need names if you
do not want to give them)?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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:___________________________________________
Email: ___________________________________________
Name:___________________________________________
Position/Title:_____________________________________
Phone:___________________________________________
Email: ___________________________________________
Audience/Organization Profile
Estimated # of attendees ____________ Average education ______________
% Female attendees ________________ % Male attendees_______________
Average age and range ______________ Experience level ________________
Will spouses be attending? ___________ Titles or positions of people
% Managers attending _______________ 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: ____________________________________________
Email: ____________________________________________
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?______ Pickup person? ______
Other? ______
Pickup person's name? ____________________ Office Phone? ___________________
Home/emergency phone?_____________________ Cell?________________________
Email: ____________________________________________
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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