Chart Your Course International: Business resource center providing seminars, articles and free newsletters on leadership, employee retention and productivity.

Organization
Event Date
Your Name
Your E-mail Address
Your Phone

Have you established a theme or purpose for your meeting?

Would you like me to conduct a survey of your members prior to the program? Maybe No Yes
What are the 2 or 3 major challenges faced by the people who will be attending our program?
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What top issues/objectives you would like me to address in my presentation?
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How would you describe the anticipated audience? (fun loving, serious, participative, reserved etc.) People expected to attend:
Average age: Range of ages: to
Educational background(s):


What should I know about the people in your group before I start my program? Are there any particular issues or problems that I should know about?

Please describe how the affects of change is impacting on the people in your organization.

What interesting or significant events have occurred within your industry or to your group during the past year?

How would you like the audience to feel when they leave my session?

What are your primary objectives for this meeting?

What should be the mix of "content" and humor/motivation?
% content % humor/motivation
Are there any particular topics I should address during my program?

Are there any sensitive issues that I should avoid?

Are there websites I should visit to learn more about your organization/industry?

Do you have any other suggestions to help us make this program more successful?

Please provide the name and title of my introducer and how I can contact him/her:

Please provide me with 3-5 names, phone numbers and/or email addresses of key individuals I should speak to as part of my research. It would be helpful if they hear from you ahead of time to let them know I might be contacting them.

Occasionally, meetings get off schedule. If this happens before my presentation, would you prefer that I (please select one)
Speak for the allotted time
Finish at the appointed time.
If you are pleased with my services, would you mind writing a letter of recommendation for my files? Yes No
Please send us any printed material (newsletters, agenda, brochures, annual reports) on your group or your industry. This will help us to customize the presentation. Click submit to send your completed survey form.