Your name:

Title:

Company:

Address:

Email:

Phone:

Today's date:

Event date & time:

Event location (full address):

Event location phone:

Company/Oranization name:

Founded by/in year:

Field of endeavor:

Description of company:

Mission statement:

Event theme:

Role in your program (breakout, keynote, opening?):

Inside jokes/catch phrases:

Mantras or similar slogans:

Taboos (anything off-limits, sensitive, or should not be discussed?):

Proudest achievement/distinction:

Focus for the next year:

Will food or alcohol be served:YesNo

If yes, when?

How will most of the attendees be dressed?

How will the executives be dressed?

How should Steve be dressed?

What separates your high-achievers from the others?

What are some of the challenges your organization and people face on a day-to-day basis?

What areas of challenge pose the greatest opportunity for improvement?

What are the most significant events that have occurred and affected your industry, organization, and group during the past year (i.e. new products, regulations, buyouts)?

What are the most important things you bring your customers (external or internal)?

What is most important to you concerning the content of the program?

What separates your high-achievers from the others?

What is the duration of this event?

What is the duration of the presentation? Exact Start time:

What immediately precedes appearance?

Who will introduce us? (name, title, phone, e-mail)

What immediately follows our appearance?

Whom do we return control to after we are done?

What theme/threads would you like to see woven into the program?

What attendees should take away or what three concepts/skills/ideas would you like them to have:

General Audience profile/keywords to describe:

Number present?

Will there be spouses?YesNo

Male/Female percentage:M% F%

Age range:

VIPs to acknowledge (who are they, why are they important, how can we best recognize them?)

Names of audience members Steve can contact by phone or e-mail:1.
2.
3.

Where will we be speaking? (please describe the hall, room, or venue including size, capacity, type of environment, etc.)

Will there be a stage?YesNo

If so, how high?

Please describe the seating arrangements (classroom style with tables and chairs, rows in a chevron pattern? Number and location of aisles, etc.):

Will there be an easel with paper? (This is requested.)YesNo

Description of sound system:

Is there a lavaliere microphone for us? (This is preferred.)YesNo

A hand-held microphone for audience participation?YesNo

Will there be a projection system for a personal computer with PowerPoint? (This is preferred.)YesNo

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