Company Name:
Your Name:
Phone Number:
Email Address:
Web Site:
General Background Information
1. What is your company's/association's mission statement or vision?
2. What is your organization's major strength? What makes your organization unique? If applicable, what is your organization's competitive edge?
3. What are some of the current problems or challenges experienced by your industry/organization/people?
4. What are the most significant events to have occurred in your industry, group, or organization during the past year? (mergers, relocations, cutbacks, new product or service, legislation, etc ).
Presentation
1. What are your specific objectives for my session? What three things would you like the audience to walk away with?
Objectives:
1:
2:
3:
2. Are there any issues/topics in particular that you think I should discuss during my program? Key issues to avoid (if any)? Are there any subjects, words, phrases or concepts that people are negative about and should be avoided.
3. Is there a theme or slogan you want repeated, or used as a theme, in my presentation?
4. Program Mix: How much???
% Motivation:
% How to/Nuts & Bolts:
% Humor:
Analysis
self-conscious demanding high ego strength Other descriptions?
Helpful Information 1. What did your group like about the speakers they've heard in the past? What did they not like? Why did you select me?
4. Final thought -- what did I not ask that you think I should know?