Then please fax the completetd questionnaire to: (434) 978-0118.
Questionnaire
| Your Name: |
Phone: |
| Title: |
Fax: |
| Company: |
Website: |
| Best time
for Bob Scheinfeld or Representative to reach you: |
| |
I. YOUR PROGRAM
1. What is the meeting theme?
2. What is the specific purpose of this meeting?
3. What type of meeting is it? (annual meeting, awards ceremony, sales
kick-off, etc.)
4. Who (if anyone) is on the program just before Bob and what is their
presentation topic?
5. Who (if anyone) is on the program right after Bob and what is their
presentation topic?
6. Which company executives and/or industry experts will be speaking
at this meeting?
II. THE PRESENTATION
1. What is Mr. Scheinfeld's role in your program (opening or closing,
keynote, breakout, etc.)?
2. What are the exact times for Bob's presentation?
Start Time:
End Time:
(Note: Please send us a copy of the meeting program and agenda so he
can see how his program fits in. Thank You!)
3. How will most of the audience be dressed?
4. How will the executives be dressed?
5. How should Bob be dressed? (suit and tie; sport coat and open collar
shirt; slacks and shirt; other)
6. Who will be introducing Bob to your group?
7. What is most important to you concerning the content of Bob's program?
(i.e. use of examples, exercises, handout, etc.)
8. What is most important to you in the working relationship with Bob?
9. What themes or threads (other than the primary topic of Bob's program)
would you like to see woven into the program?
10. When your people leave the program, what three concepts/skills/ideas
would you like them to have?
1.
2.
3.
III. THE AUDIENCE
1. Number in the audience: Are
spouses invited?
2. Male/Female Percentage
M%:
F%:
3. Average age of group? Range of age to?
IV. BACKGROUND
1. What separates your high-achievers from the others?
2. What are some of the challenges your organization and your people/members
face on a day to day basis?
3. What areas of challenge pose the greatest opportunity for improvement?
4. What are the most significant events that have occurred, and that
have affected, your industry, organization, or group during the past
year? (i.e. mergers, downsizing, etc.)
5. What is the primary product or service that you offer?
6. What are the two most important benefits you offer to your customers?
A.
B.
7. What are 2 or 3 achievements of which your organization is most proud?
7. Name five key people in your group that will be at the program. With
your permission, Bob may want to contact them to discover more information
about your group.
Name / Telephone #
1.
2.
3.
V. LEARNING TOOLS
Most audiences want something to help them continue learning after
the presentation. What do you prefer?
· Visit our online
store for all of Bob Scheinfeld's titles
· Customized workbook
·
Autographed book or tape albums
How do you wish to handle these?
· Purchase at quantity discount to distribute to participants at the
event
· Offer learning materials to participants for purchase at the event.
· Let participants order the materials from Success Breakthroughs after
the presentation.
VI. LOGISTICAL INFORMATION
1. Hotel Name and Address
Phone:
Fax:
2. Hotel Confirmation Number:
3. Name of meeting room:
4. Into what airport should we schedule Bob's flight?
5. How far is the hotel from the airport?
6. How should Bob travel to the hotel? (take cab, rent car, driver will
pick up, etc.)?
7. Would you like Bob to notify someone after he arrives at the hotel?
If so, whom shall he contact:
Phone:
8. Contact at meeting site:
Name:
Title:
Phone:
On site arrival date:
9. Are there any pre-meeting engagements (i.e. breakfast or lunch)?
If so, where and when are they scheduled:
