Joe's Pre-Program Client Questionnaire

To assist you in bringing your audience the most practical and impactful content, Joe customizes his program content to best serve the needs of his program's attendees. Please assist him in doing so by completing the following questionnaire. Your assistance is greatly appreciated!

Blank Form (#1)

First Name

Last Name

Phone

Email Address

Group/Company/Organization

Website

Date of Joe's Program

Start Time of Joe's Program

End Time of Joe's Program

What is the Theme of your Event? (If applicable)

Please Upload Company and/or Event Logos/Branding

Choose File

Please upload any event promotional materials (PDF format)

Choose File

What is your overall objective(s) of this meeting/event/conference?

What are your specific objectives for Joe's presentation?

What are the main problems/challenges currently experienced by your organization/industry?

What are 3 primary challenges experienced by people in this audience?

What changes do you anticipate in your organization/industry in the near future?

Is there any "inside scoop" that Joe could incorporate into his presentation? (For example, a new company policy, a broken piece of equipment, local hang-out, etc.)

Is there anything Joe should NOT mention, or any sensitive areas he should avoid?

Male/Female Ratio and Age Range of Joe's Audience

Please list two individuals who will be in the audience and whom most of the other attendees know and like:

Closest Airport and Distance from Program Site (ex: Sky Harbor - 5 miles)

Ground Transportation from Airport will be Provided by:

Taxi/Uber/Lyft: Invoice Us

Rental Car: Invoice Us

We Will Arrange Airport Pickup

Hotel Name, Address and Phone

Joe's Room Confirmation Number

Meeting Location (if not held in hotel; full address and phone)

Name or number of room where Joe will present

When will the room be empty for A/V setup and sound check?

What will be happening immediately before and after Joe's Program?

Event ON SITE Contact (please include cell phone)

Event ON SITE A/V Contact (please include cell phone):

May Joe offer Supplemental Education Resources for sale following his program? (FYI, Joe never “hard sells”)

Yes

Anything else Joe needs to know?