Pre-Program questionnaire


                                               Pre-Program Questionaire

 


Group Name                                                                                                                                    

 

Program Date                                     Program Topic                                                                   

 

This questionnaire will enable Benny to tailor his presentation to the specific needs of your group. Please answer all the questions as completely as possible. Feel free to skip those questions which duplicate a previous answer or which don’t apply to your group.

 

Two Ways to Complete this Questionnaire

  1. Complete this form on your computer and email it as an attachment to DrEncourage@gmail.com.
  2. Print this questionnaire, complete it by hand and fax to Benny’s  attention at 813-886-1074



 

Additional Information

Please snail mail and/or email Benny all information that will help him understand your organization, people, products/services and industry. This could include:

  • meeting agenda and promo brochure              new employee orientation materials
  • new employee orientation materials                 most recent annual report
  • internal and external newsletters                      advertisements and product/service literature
  • current articles about your organization

 

Client Contact Information

Name                                                                              Title                                                               

Address                                                                                                                                               

Phone                                         Fax                                           Email                                                 

 

Logistics

Closest airport to hotel                                                                                                                                     

Will someone be meeting Benny at the airport?  Yes         No        

Who                                     Where                                                   Cell #                                     

Distance from airport to hotel in miles                                          and in minutes                                    

Meeting location                                                  Meeting Room                                                              

Address                                                                                                                                         

Phone                                                                       Fax                                                                

Logistics  (continued)

Benny’s hotel name                                             Hotel address                                                            

Phone                                   Fax                               Confirmation #                                               

Distance from hotel to meeting location in miles                    and in minutes                                     

Current Events

September 2017
M T W T F S S
« Jun    
 123
45678910
11121314151617
18192021222324
252627282930