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The following questions are
designed to personalize each presentation to the audience?s and organization?s
needs. Please take a few moments to answer the questions below and return this
questionnaire. Thank you for your help!
Contact Information
| Speaking Topic: |
Date: |
| Organization: |
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| Meeting Coordinator: |
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| Daytime Phone: |
E-mail: |
| How did you hear
about Dr. Perry? |
Presentation Content
What is the purpose/theme of the event? (awards banquet,
annual meeting, trade convention, etc.)?
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What are the exact times of the presentation?
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What is the expected length of the presentation?
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What is happening immediately before Dr. Perry?s presentation?
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What is happening immediately after Dr. Perry?s presentation?
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What is the best time for Dr. Perry to do her a/v room check?
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| What is the proper attire Dr. Perry?(Please circle one) |
| Business Suit |
Black Tie |
Casual |
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| What is Dr. Perry?s role in the program (opening or closing
keynote, luncheon, etc.)? |
| Who will be introducing Dr. Perry? |
| What percentage entertainment vs. high content techniques and
strategies would you like? |
% entertainment |
% high content |
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| What are your objectives for our session?
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| Are there any issues or topics in particular that you think we
should discuss in this program?
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| What ?local color? can you think of relating to the location
or the organization (i.e. are there frequent floods? Did the local mayor
just get arrested? etc.)
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| Is there good news/bad news about your organization that I
should/should not include in the presentation?
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| Is there a slogan or philosophy that is commonly used in your
organization?
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| Is there any industry jargon that Dr. Perry should be aware
of?
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| Who are three people in your organization who are well-known
and well like within in the group, who will be present and who we can ?pick on?
(in fun) if the appropriate situation arises.
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| When your people depart from this presentations, what ONE
thing do you want to be uppermost in their minds?
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| Who are the other professional speakers on this program? |
| Speaker: |
| Topic: |
| Role in Program: |
| Speaker: |
| Topic: |
| Role in Program: |
| Speaker: |
| Topic: |
| Role in Program: |
| What other professional speakers you have used in the past?
What did you like about their performance?
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Logistics
| What is the nearest major airport to the meeting site?
|
| For transportation to and from the airport would you prefer:
(Please circle one) |
| To meet Dr. Perry at the airport |
or |
To have Dr. Perry take a cab |
|
| Where is the exact location of the meeting?
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| What hotel will Dr. Perry be staying, if not the same location
as the meeting?
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| How far is this hotel from the meeting location?
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| In case of emergency or flight delays who and where should Dr.
Perry contact?
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Audience
Number of Attendees |
Average Age |
% Male |
% Female |
|
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| What type of people will be attending this presentation?
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% of executives |
% of manager |
% of employees |
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| Should the message be targeted more to one group that the
other?
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| What do you consider the primary strengths of your
organization?
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| What are your organizations concerns and fears?
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| What are some of your organizations victories?
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| What are some current problems experienced by your
industry/organization?
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| What are the most significant events that have occurred in
your industry/organization in the past year?
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| Do you have any other suggestions to help make this program
your best ever?
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Additional Information
Please send the following information as soon as possible:
? The agenda of the
meeting/conference
? Information about the
company/organization (history of the organization, corporate report,
publications, newsletters, etc.)
After we have received your
instructions, we would like a telephone appointment.
What are the names of three
people valuable for Dr. Perry to interview so we can customize your
presentation?
| Name |
Title |
| Phone |
Fax |
E-mail |
| Name |
Title |
| Phone |
Fax |
E-mail |
| Name |
Title |
| Phone |
Fax |
E-mail |
Please send
all correspondence to:
Dr. Isabel Perry
5019 Winwood Way
Orlando, FL 32819-3303 USA
Fax : 407-291-7499
For more information about Dr. Perry please call
407-291-1209
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