Meeting Planner - Mike Schlappi's Pre-Program Survey

This questionnaire is for meeting planners who have already booked Mike Schlappi as their speaker. The following information is necessary for Mike to design his presentation based on your companies needs. If you have any questions, please feel free to call his office at (801) 553-MIKE(6453). If necessary, this information can be collected during the initial conference call prior to the event. Thank you.

The following information would be helpful, but it is optional:

A printed agenda, brochure of event, program announcement or invitation
An organizational chart of your company
Copies of recent newsletters or bulletins (Please continue sending until program time. Mike will read them all.)

Only the fields marked in RED are required fields for this form. If your schedule does not permit, please fill out at much as possible and the rest of the information can be collected at a later date.

Name of Meeting Planner:
Telephone:
Email Address:
Company Name:
Address:
City/State/Zip:
Website Address:
Meeting Date:

Briefly describe what your organization does---its products, services, reputation in the marketplace compared to others, etc.:

What is the exact title of your meeting?

What is the specific theme of your meeting?

Where will the event be and where will Mike be staying?

Where is Mike's session positioned?

Mike's starting time:
Mike's ending time:
Who will introduce Mike?
We can also provide a video clip that introduces Mike if you have video capabilities at the location. Which do you prefer? Video Introduction Personal Introduction

What happens before Mike speaks?

What happens after Mike speaks?

Who will be attending Mike's session?
Total number expected:
Number of men:
Number of women:

What are your objectives for Mike's presentation? What do you want your audience to walk away with?

During the past few months what significant events have affected the target audience? Have these events been perceived as a positive or a negative?

Who are some of your primary competitors?

What are some of the most important things Mike should know about the people who will be attending the session? (personality, work environment, income, recognition, competition, current pressures, fears, victories, etc.)

What other professional speakers or seminar leaders have your attendees heard in the last few years?

PLEASE BE ASSURED:

All of your answers will remain confidential.
After reviewing everything you send, Mike will call you to discuss specific ideas for the content that will achieve your objectives.