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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
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Speaking Topic: |
Date: |
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Organization: |
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Meeting Coordinator: |
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Daytime Phone: |
E-mail: |
| How did you hear
about Dr. Perry? |
Presentation Content
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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) |
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Business Suit |
Black Tie |
Casual |
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What is Dr. Perry?s role in the program (opening or closing
keynote, luncheon, etc.)? |
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Who will be introducing Dr. Perry? |
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What percentage entertainment vs. high content techniques and
strategies would you like? |
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% 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? |
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Speaker: |
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Topic: |
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Role in Program: |
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Speaker: |
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Topic: |
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Role in Program: |
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Speaker: |
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Topic: |
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Role in Program: |
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What other professional speakers you have used in the past?
What did you like about their performance? |
Logistics
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What is the nearest major airport to the meeting site? |
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For transportation to and from the airport would you prefer:
(Please circle one) |
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To meet Dr. Perry at the airport |
or |
To have Dr. Perry take a cab |
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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? |
Audience
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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? |
Additional Information
Please send the following information as soon as possible:
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The agenda of the
meeting/conference
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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?
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Name |
Title |
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Phone |
Fax |
E-mail |
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Name |
Title |
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Phone |
Fax |
E-mail |
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Name |
Title |
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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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