PPQ Pre-Program Questionnaire
Online questionnaire to customize program to client's needs.
Name of Group
Date of Presentation
Name of Event
Person completing this form:
Your Phone Number:
Your email:
Meeting Time: Begins
Meeting Time: Ends
Bob's Program: Begins
Bob's Program: Ends
Bob's 2nd Program: Begins
Bob's 2nd Program: Ends
What is the theme for your event, if any?
What are some of the challenges currently experienced by your industry and attendees? What's REALLY keeping them up at night?
What is the biggest misconception about your industry/business?
What innovations (current and historical) are associated with your industry and/or group?
List three "pet peeves" this audience will relate to. Or, to put it another way, if several members of this audience were having drinks together, what would they start griping about after the 3rd beer?
"Pet Peeves" continued. How would they complete the sentence, "It just drives me crazy when...?" Please give specific examples, if possible (e.g., "When customers call in just before closing to demand early deliver" instead of just "Customers.")
Is there a "common enemy" (company/association/department/government agency/etc.) that this group "loves to hate"? (This is for humorous use only.) Please explain.
Is there anything Bob should NOT mention, or sensitive areas he should avoid?
What are the three most important things you'd like attendees to take away from this presentation?
What would you like your attendees to think or do differently as a result of Bob's program?
Will there be other speakers at this event?
Yes
No
Topics:
Approximate number attending Bob's program:
% Male
% Female
Age range of audience:
Average age:
Will spouses/SO's be attending?
Yes
No
General job responsibilities of attendees:
How can Bob refer to the entire group by job title or function (e.g., Health Care Professionals/Financial Advisors/Small Business Owners/Librarians)?
What % of attendees are in leadership roles?
Closest airport:
Distance from site (in miles):
Ground transportation:
Taxi/Uber/Lyft
Shuttle
Will be met by driver
other
Hotel name:
Hotel phone:
Hotel Confirmation #:
Hotel address:
Meeting location (if not hotel):
Phone
Meeting location address (if not hotel):
Name of room where Bob will speak:
What will be happening immediately before Bob's program?
What will be happening immediately after Bob's program?
What day and time will the room be empty for A/V setup and sound check?
Group contact on-site:
Group contact cell #:
A/V contact on-site:
A/V contact phone:
Send responses to Bob
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