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We need your help! We would like to specifically meet your needs with this presentation. Would you please take a few moments to answer the questions below to the best of your knowledge?
We would appreciate any additional information on your group/company that may help: mission statement, news publications, etc. Will you be sending us additional information? * Yes No
Please return this questionnaire to The Juson Group no later than one week before the scheduled speaking/training engagement. If you have any questions, call The Juson Group at 623-907-3569
Presentation Title? *
Date of Presentation *
Name of speaker (if known)
What happens just before the speaker speaks? *
What happens right after the speaker speaks? *
Appropriate dress code for presentation? *
Conference theme/reason?
Specific purpose of this meeting (awards, banquet, annual meeting, quarterly meeting, etc. *
What are the specific objectives for presentation?
Are there any sensitive issues that should be avoided?
Introducer’s name: *
Introducer’s Phone number and email address: *
Are there other speakers on the program? * Yes No
If yes who and what topics?
What speakers have you used in the past that covered topics related to the material we will be doing for you?
What did you like and/or dislike? (Without their names if you would like, but please do comment on the material they used. *
What would make our presentation meaningful for your group? *
Number of people attending the presentation/training: *
Percentage of male *
Percentage of female? *
Average age? *
Annual average income
Major job responsibilities of audience:
Any job related problems with co-workers?
Any group successes?
Notes/extra space

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