This questionnaire
is designed to help prepare a program that is specifically tailored
to meet the needs of your group. Please take a moment to fully
answer all the applicable questions. At the end is a “Send”
button to submit your answers. Thank you.
Special request: Please send me as much information as possible
to help increase my understanding of your organization. This
includes association magazines, news releases, newsletters,
or other information you feel would be of value. Thank you.
1. AUDIENCE ANALYSIS INFORMATION:
a. Number of attendees?
Spouses invited?
b. Number of males?
Females?
c. Average age of group?
Age ranges? From
to
d. Major job responsibilities of audience members?
e. What are the names/titles of your top people who
will be at the meeting?
2. THE PROGRAM ITSELF:
a. What is your specific objective for my session?
b. Are there any issues/topics in particular that you
think I should discuss during the program?
c. Key issues to avoid (if any):
d. Name and title of my introducer:
e. Starting time for: My program
Entire program
f. Ending time for: My program
Entire program
g. What takes place before my program (speaker, meal,
workshop)?
h. What takes place immediately after my program (break/another
speaker/nothing, and so on)?
i. If other speakers are on the program with me, who
are they and what are their topics?
j. City/Hotel/Meeting Room?
k. Have you any other suggestions to help us make this
program your best ever?
3. GENERAL BACKGROUND INFORMATION:
a. What do you consider the primary strengths of your
organization/people?
b. What are some current problems experienced by your
industry/organization/people?
c. What areas of their overall working performance are
ripest for improvement?
d. What are the most significant events that have occurred
in your industry/organization/group during the past year (i.e.,
expansion, relocations, reduction in force, new laws, and
so on)?
e. What are the top three challenges faced by the people
who will be in my audience?
f. Please share with me any “industry color”
(i.e., promotions, unusual regulations or policies, Murphy’s
Law in action, and so on)
g. When your people depart from this presentation, what
ONE thing do you want to be uppermost in their minds?
4. Contact Information:
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