1010 Thoreau Court, Suite 310, St. Louis, MO  63146
Phone 314.872.8787 -- FAX 314.872.8788
email: linda@lindanash.com    www.LindaNash.com 

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Pre-Program Questionnaire

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Will you please help us? Our goal is to provide you with a special program tailored to the specific needs of your group. This survey will help with our preparation. Please answer the questions as fully as possible. Feel free to skip any questions which are irrelevant due to the nature of your program or group. Include any information you feel would help us understand your organization or group (i.e. product/service brochures, annual reports, newsletters, surveys, etc.) Your input will increase the value of the program to your group. Thank you!

Who will be attending the program? (If possible, please give sample job titles, backgrounds, education levels, age and income ranges, and departments of those attending.)

Number attending? _____ Approximate % of _______ Men? ______ Women?

What are the three most important things I need to know about those attending?

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Will attendees be co-workers, competitors, boss/subordinate, or a mixture of authority levels? Will they all be acquainted with each other? Are there existing potential problems, competitive factors, peer pressure or other dynamics I should be aware of?

Specifically, what are you trying to accomplish with this event or series as a whole? Is there a theme?

What are your objectives for my session? What (3) specific points do you want your people to leave with regarding attitudes, knowledge and skills?

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How do you want the participants to feel at the end of the program?

Are there any particular issues/topics that you would like me to address?

What are the greatest fears of this particular group?

What are the greatest needs of the group?

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What victories can this group/ organization celebrate?

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Are there any issues, subjects, words, or concepts that you want me to "steer clear of"?

What ACTION would you like to see people take as a result of this program?

If I could wave a magic wand and make something happen for your group or company, what would it be?

_______________________________________________________________________

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Please list some in-house or market specific language, jargon, phrases forms, acronyms or words specific to your group that might be incorporated into the presentation.

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Is there additional history and/or issues of which I should be aware?

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Name/title of my introducer: Phone or email:

What takes place immediately before my program?

What takes place immediately after my program?

If there is a scheduled function where I might meet participants or in which my presence would be useful, please let me know the time, place, nature and appropriate dress:

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Who are the other speakers on the program, if any?

Speaker: Topic:

Speaker: Topic:

What professional speakers have you used in the past and what did they cover?

Speaker: Topic:

Please provide me with the names/titles/phone of (3) people who will be at my program. I may want to call them to gather more "grassroots" information.

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What are the names/titles of your top people who will attend the session?

Learning is an on-going process. If you would like information on the books, booklets, tapes, workbooks, top tips cards or other materials we have available to complement this program and increase retention, discussion, and learning, please check here ___________. This information will be faxed or emailed.

Questionnaire filled out by:

Phone/Fax/E-mail:

Company/Organization Web site ___________________________________

Thank you for taking the time to give us this valuable information. We will use it to tailor a program especially for your participants. Pleas mail or fax the pre-program questionnaire by ______________, along with any information about your organization or group that will help us in preparing the program.

Any questions on how Linda's programs can benefit your company or organization? Please click here or call 314.872.8787 or 800-701-9782.

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Linda Nash
1010 Thoreau Court, Suite 310
St. Louis, MO  63146
Ph: 314.872.8787  |  800.701.9782
linda@lindanash.com | www.LindaNash.com 

Copyright 2000 by Linda Nash. All rights reserved. You may not reproduce this material without explicit prior written permission.