Pre-Meeting Questionnaire

Have you booked Lee to speak at your meeting?  Then please complete this questionnaire to help ensure a successful presentation.

The number one rule of speaking is to know your audience.  The information you provide allows Lee to tailor his message so it speaks to your audience and is relevant to your competitive environment and the challenges you face.  If there are some questions you can't answer yet, that is okay.  Do as much as you can now and we can work out the details later.

Please complete the questionnaire and either:

1. Complete the form below and hit "submit" or 

2. Use the red "Printer Friendly Version" icon on the right to print and fax the questionnaire to 972-250-3029.

In addition, it is extremely helpful if you send the following by mail or by courier:

• Latest annual report or quarterly report

• Corporate information package or brochure

• New employee orientation package

• Recently published news stories about your company

• Any materials on your event (agenda, invitations, etc.)

• Information on the hotel/meeting facility

Our mail and delivery address is: 17290 Preston Road, Suite 210-B, Dallas, Texas 75252.  All information submitted is confidential.

General Information
Date of Presentation		(MM/DD/YYYY)
Company Name
Contact Name
Title
Address
City/State/Zip		AK AL AR AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY
Phone
Fax Number
E-mail Address
Company URL
Location / Meeting Site
Facility Name
Facility Address
City/State/Zip		AK AL AR AZ CA CO CT DC DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY
Facility Phone
Presentation Room
On-Site Contact
Phone
Fax
Email
Emergency Phone
Accommodations
Hotel Room Reserved for Lee?		Yes No
Hotel Name
Hotel Phone
Guest Fax
Confirmation #
Reservation Date		(MM/DD/YYYY)
Travel
Nearest Airport
Distance		minutes
Airport Transfers		Lee to take a cab Lee to take Hotel shuttle service Planner arranging transfers
Car Service Co
Confirmation #
Emergency Phone
Audio Visual
AV Company
Phone
Fax
Email
Preferred AV Check Time with Lee		am  pm
Presentation
Time		am  pm
Duration		minutes
Do you prefer Lee to attend a function before/after his presentation?
Appropriate Attire		Casual Business Casual Business Formal
Who spoke at this meeting last year?
Will Lee's presentation be recorded?		Yes No
If yes, how?		Video Audio Only
Can Lee invite a guest to attend the presentation at his expense?		Yes No
Room Set Up
Seating Arrangement		U-Shaped Theatre Round Tables Conference Table Not sure
Is alcohol served before or during the presentation?		Yes No
Introductions
Who will introduce Lee?
Company
Title
Phone
Email
Audience Information
Number of Attendees
% Males
% Females
Age Range
Description of Attendees
Personalization Information
Type of Event
Objective of Meeting
Theme
Current Challenges in Your Industry
What Percentage of Lee's Presentation would you prefer?		% Entertainment   % Education   % Motivation
How did you hear about Lee?		Video Book Referral Live Viewing Other