charles marcus - motivational speaker and best-selling author



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pre-program questionnaire
Thank you for taking the time to respond to this questionnaire. The information provided will assist me in designing a program that will help achieve your goals and objectives for your event. Please respond to the questions that are applicable to your organization and event. Please return this questionnaire by the date specified, in order to give me sufficient time to review, consult with you, and customize my material.

Thank you in advance for your assistance.
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

     

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