The Productivity Pro - Time Management Keynote, Productivity Spokesperson, Personal Productivity Training

Please take a moment to complete this survey. Your answers will help me tailor my presentation to your group. You may also download the survey in Adobe Acrobat format or Microsoft Word format and fax it to me at (303) 471-7402. Thank you!

I. THE EVENT

Name of Group/Organization

Date/Time

Location

Event/Occasion/Purpose of Meeting

Do You Have a Theme?

Attire For Women In Attendance

Cocktail Business Business/Casual Casual

II. LOGISTICS

Closest Airport

Est. Travel Time From Airport To Hotel/Presentation Site

Hotel

Hotel Name (Room Block Only)

Address

Phone (please enter #s only, 10 digits)

Confirmation #

OR Meeting Location

Meeting Location (please include directions)

If you have a room block for this event, please book & confirm hotel room (non-smoking w/king or queen bed), reserved for late arrival and billed to your master account number. If the event is at a facility other than the sleeping hotel, our office will make hotel reservations.

Street Address

Telephone

Who is the on-site emergency contact of the event?

What time would you like Laura to meet you to set up?

Will You Be Serving Breakfast and/or Lunch?

Breakfast Lunch Both

May a Guest Sit in on This Program?

Yes No

Laura's books/learning resources

We are interested in pre-purchasing a book for each person.

We would like you to ship books to have available on-site for individual purchase.

We don't want to offer any books at all; participants can order one if interested.

Will an LCD Projector & Screen Be Available On-Site?

Yes No

Will a Wireless Lavaliere Be Available On-Site?

Yes No

III. MY PROGRAM

Introducer (name, title, phone)

What other speakers have you had recently?

What will happen before and after Laura's presentation?

Why did you choose this topic?

If you were the one presenting this program, what's one message you'd be sure to deliver?

What action would you like people to take after this session?

IV. MY AUDIENCE

Number Attending

Male %

Female %

Age Distribution

How well will participants know each other?

Who will attend? Supervisors, Managers, Executives, Line Staff, Professional Staff, Support?

Briefly, what is the nature of the work performed by the group?

How does this group make a unique contribution to America/society that the rest of us need?

What do participants think or know about this topic?

Please list a few job situations/duties/issues that can cause stress to my audience as they do their work or in this industry

What are some of the things that customers or coworkers say or do that may be irritating or cause stress at work?

Are you interested in purchasing learning resources/books for the attendees?

Yes No

V. YOUR ORGANIZATION/INDUSTRY

What is your website address?

Who are your main competitors?

What is the mission/philosophy statement of your company/organization?

What changes have taken place in your organization/industry in the last few years and what changes do you anticipate in the near future?

What are some of the "inside" jokes? What are some things I should definitely NOT talk about or poke fun at?

What is unique about your group? (i.e., unusual hours, travel, red-tape, etc.)

Please list any specific in-house language, jargon, projects, phrases/sayings, in-house buzz words, acronyms, or words applicable to your group that might be incorporated into the presentation

For ideas on issues and content, please provide the names and phone numbers of three people who will be attending the conference/meeting

How may I get in touch with the CEO/President/Executive Director of your organization?

Please leave an Email address where we can contact you or your organization.

PLEASE SEND ME A MEETING AGENDA AS SOON AS POSSIBLE!


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Pre-Program Questionnaire Please take a moment to complete this survey. Your answers will help me tailor my presentation to your group. You may also download the survey in Adobe Acrobat format or Microsoft Word format and fax it to me at (303) 471-7402. Thank you! I. THE EVENT Name of Group/Organization Date/Time Location Event/Occasion/Purpose of Meeting Do You Have a Theme? Attire For Women In Attendance Cocktail Business Business/Casual Casual II. LOGISTICS Closest Airport Est. Travel Time From Airport To Hotel/Presentation Site Hotel Hotel Name (Room Block Only) Address Phone (please enter #s only, 10 digits) Confirmation # OR Meeting Location Meeting Location (please include directions) If you have a room block for this event, please book & confirm hotel room (non-smoking w/king or queen bed), reserved for late arrival and billed to your master account number. If the event is at a facility other than the sleeping hotel, our office will make hotel reservations. Street Address Telephone Who is the on-site emergency contact of the event? What time would you like Laura to meet you to set up? Will You Be Serving Breakfast and/or Lunch? Breakfast Lunch Both May a Guest Sit in on This Program? Yes No Laura's books/learning resources We are interested in pre-purchasing a book for each person. We would like you to ship books to have available on-site for individual purchase. We don't want to offer any books at all; participants can order one if interested. Will an LCD Projector & Screen Be Available On-Site? Yes No Will a Wireless Lavaliere Be Available On-Site? Yes No III. MY PROGRAM Introducer (name, title, phone) What other speakers have you had recently? What will happen before and after Laura's presentation? Why did you choose this topic? If you were the one presenting this program, what's one message you'd be sure to deliver? What action would you like people to take after this session? IV. MY AUDIENCE Number Attending Male % Female % Age Distribution How well will participants know each other? Who will attend? Supervisors, Managers, Executives, Line Staff, Professional Staff, Support? Briefly, what is the nature of the work performed by the group? How does this group make a unique contribution to America/society that the rest of us need? What do participants think or know about this topic? Please list a few job situations/duties/issues that can cause stress to my audience as they do their work or in this industry What are some of the things that customers or coworkers say or do that may be irritating or cause stress at work? Are you interested in purchasing learning resources/books for the attendees? Yes No V. YOUR ORGANIZATION/INDUSTRY What is your website address? Who are your main competitors? What is the mission/philosophy statement of your company/organization? What changes have taken place in your organization/industry in the last few years and what changes do you anticipate in the near future? What are some of the "inside" jokes? What are some things I should definitely NOT talk about or poke fun at? What is unique about your group? (i.e., unusual hours, travel, red-tape, etc.) Please list any specific in-house language, jargon, projects, phrases/sayings, in-house buzz words, acronyms, or words applicable to your group that might be incorporated into the presentation For ideas on issues and content, please provide the names and phone numbers of three people who will be attending the conference/meeting How may I get in touch with the CEO/President/Executive Director of your organization? Please leave an Email address where we can contact you or your organization. PLEASE SEND ME A MEETING AGENDA AS SOON AS POSSIBLE!