This questionnaire is a valuable aid in customizing Mark's presentation for your audience. Please take the time to fill out all of the applicable questions about your audience. (Not every question is applicable!) If you need to use the back of the questionnaire or additional paper, please do so. The more information Mark has, the better. It would also be helpful to have the following:
The agenda that includes Mark's presentation
Any past agendas from similar meetings
Brochures about your company, products and services
Information you are sending the attendees of the meeting; brochures, promotional
materials, etc.
Thank you very much, and we look forward to working with you!
PLEASE RETURN THIS QUESTIONNAIRE TO:
Mark Zacharia
My Magic Words
Fax: (908) 389-0401
http://www.mymagicwords.com
PRE-PROGRAM QUESTIONNAIRE
Name of company/organization/association: ___________________________________
Name of person completing this questionnaire: _________________________________
Phone number (and extension): __________________
Email address: ______________________________
Presentation Date: ___________________________
Starting time of Mark's program: ________________
Ending time of Mark's program: _________________
Presentation Site: _______________________________________________
Address: ______________________________________________________
City, State, Zip: _________________________________________________
Phone #: ______________________________________________________
Travel Arrangements
Arrival Date: __________________________________________________
Flight arrangements: Mark usually makes his own air reservations.
Closest airport: _________________________________________________
Hotel accommodations: __________________________________________
Address: ______________________________________________________
City, State, Zip: _________________________________________________
Phone #: ______________________________________________________
Hotel confirmation number: ________________________________________
Ground Transportation: Mark usually takes a cab unless other arrangements are made.
Audience Profile
1. Audience size: ____________
2. How will the audience be seated?
[ ] Theater
[ ] Classroom
[ ] Round tables
[ ] Other (please specify): _____________________
3. Are spouses invited? [ ] Yes [ ] No
4. Percentage of males/females? Males: _____% Females: _____%
5. Please describe in one or two sentences what your company or organization does.
6. Please describe the audience: What are the major job responsibilities, titles, etc. (This is very important!)?
7. Who are the customers of the audience?
8. Please list the names of key company executives (and their positions) who will be attending the meeting.
The Meeting
9. What is the "theme" of your meeting?
10. What is the reason/purpose/goal for this meeting? (Annual sales conference, industry meeting, incentive program, etc.)
11. Who else will be speaking at the meeting (and on what subjects)?
12. Who has spoken in the past (and on what subjects)?
13. What takes place immediately before and after Mark's presentation?
Before:
After:
14. Who will introduce Mark? _________________________________
15. What are three things you want people to remember when Mark's presentation
is completed?
(This is VERY important!)
16. Can you offer any suggestions to make this the best presentation your audience has ever heard?
17. Are there any issues that should be avoided?
18. What will be the appropriate attire for the attendees and how would you like Mark to dress?
Company/Association Information
19. What is your company or association's mission statement?
20. Who is your competition and why should a customer buy from you over your
competition?
What makes you special, unique, etc.?
21. What are the three most important things Mark should know about your organization?
22. What are the three greatest accomplishments your company has had this year?
23. Are there any objections, problems, concerns or confrontations the audience
is dealing with
in their jobs or with what they sell?
24. In case there are any other questions or additional research Mark might need, could you please list the names, titles and phone numbers of two more people who might help?
25. What are the two or three best books written about your industry?
26. What question(s) have we neglected to ask that would help Mark better
understand your company,
association or industry?
Retaining Information
27. The goal of every program that Mark presents is to have people retain
the information for as long as possible.
There are many ways to do this, and we would like you know about a few of
them.
"My
Magic Words" Workbook focuses on maximizing your personal
and professional potential.
Quantity discounts are available.
[ ] Yes, I am interested in purchasing copies of the "My Magic Words" Workbook. Please call me to discuss.
"My Magic Words"
Coaching Session: An audiotape illustrating how to maximize your personal
and professional potential. It's an energetic, easy-to-listen-to monologue
that will
help the listener take his ability to exercise his influence to a higher level.
The goal is not to get others to do what you want: The goal is to get others
to WANT to do what you want!
Quantity discounts are available.
[ ] Yes, I am interested in purchasing copies of the "My
Magic Words" Coaching Session.
Please call me to discuss.
The "My
Magic Words" e-letter is an e-mailed publication.
It includes business articles, motivational quotes, influential tips, etc.
There is no charge to receive
The "My Magic Words"
e-letter. You are welcome to register as many people as you would like.
No limit -- the more the better!
[ ] Yes, I am interested in receiving a FREE
SUBSCRIPTION to The "My
Magic Words" e-letter.