Corporate/Association
Information ...
Company/Association:
Website Address:
Contact Name:
Title:
Email:
Telephone:
Alternate Contact Number:
Fax:
Details about your Event...
Date
of Event:
Time of Event:
Location of Event:
Where is Charles' session
positioned in the agenda?
Charles' start time:
Charles end time:
What happens before Charles
speaks?
What happens after Charles
speaks?
What is the purpose of the
meeting?
(eg., annual meeting, sales, kickoff,
awards...)
Is there a specific theme/title?
If so, what is it & what does it mean to
your group? (describe)
Dynamics of
the Group ...
Total number of attendees
expected:
Will there be spouses attending?
(Y/N):
Percentage split male/female:
Age range of group:
Tell us a little
about your Business/Association ...
What industry, what service
or product do you provide?
How do you market this product
or service?
What are the most significant
changes happening in your industry right now?
What three major victories
are you
most
proud of as an
organization/association/ team?
What are the three major
challenges are facing as an organization/association?
What three challenges/fears/concerns
do your members/people/team have right now
(that differ from the previous
question) ?
What are your objectives
for Charles’ presentation?
(Imagine yourself at the door
after the program is over; each attendee comes
up to you and
says: “Here is what I am going to do
as a result of Charles’ presentation…”)
What three actions would
you like to hear described?
What would make the presentation
really “special” for you and your
attendees?
What are the most important
things Charles should know about the people
who will be attending the presentation?
Please in proportions equaling
100 percent, indicate roughly what percentage/focus
of you would like included in Charles’ presentation:
Motivation/Inspiration:
%
Entertainment/Humor:
%
Education/Content:
%
Do you have any other suggestions
to help make this program even more successful
and effective?
Would
you be interested in pre-ordering and purchasing
Charles’ best-selling
book Success Is Not a Spectator Sport:
How to Take Action and Achieve More and/or other
of Charles’ learning products, for your
attendees as a learning resource to reinforce
the impact of his presentation (at an attractive
volume discount)?
No:
Yes:
Quantity:
Please send me more information
regarding:
Pre-program Interviews ...
With their permission, please provide contact information
for three people who will be attending the program
and would be valuable for Charles’ to interview
in advance to gather further information:
Name:
Title/Organization:
Email:
Phone:
Fax:
Name:
Title/Organization:
Email:
Phone:
Fax:
Name:
Title/Organization:
Email:
Phone:
Fax:
Who will be introducing
Charles?
Name:
Title/Organization:
Email:
Phone:
Fax:
Research Documents Requested ...
In order for Charles to gain an understanding
of your organization and industry, please forward
any of the following materials that you feel
would be relevant:
Mission,
Vision, Values, Philosophy Statement
Recent
newsletters
Service
or product brochures; advertisements
Any
recent press clippings or articles written about
your company
Program
materials; event or conference agenda
Please be assured that all of your answers to these
questions will remain confidential and will only
be used to assist me in understanding your organization/association
and your audience better and to customize my program
to your objectives.
Thank you again for taking the time to complete
this questionnaire. I will contact you shortly
after I receive the completed questionnaire to
review and clarify any final details.
I look forward to working with you at your upcoming
event.
Charles M. Marcus
Email: charles@cmarcus.com
Phone: 905-847-2323
Toll-free in North America: 1-800-837-0629
Fax: 905-469-8790
Website: http://www.cmarcus.com