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Please fill out as many answers as possible in this event questionnaire to help us help you

deliver the best speaker for your event.  We will contact you via phone or email as soon as possible with speaker recommendations.

Organization Information
Contact Name:
Title:
Organization:
Address:
Phone:

Emergency phone

Day of event:

 
Event Information
Date(s) of Event:
Location of Event (address):
Venue Description:
Description of Entire Event:
Speaker Attire:
Describe speakers part in the event (main speaking event as well as any other events in which you wish the speaker to take part, such as receptions, etc.)
What do you want the speaker to accomplish?
Expected audience at entire event (number):
Expected Audience at speakers presentation (number):
What will the audience expect of the speaker? (include program description of the speakers prsentation, if possible)
Do you send evaluations to speakers after the event?
   
Day of the Event
Audience description
Emcee introducing speaker?
Need speaker introduction?
Availability of audio/visual equipment?
Product sales allowed?
If yes, where will these take place and how?
Will the event be audio/video taped?
For what use?
If yes, will the speaker have access to a master tape?

Speaker’s Responsibilities Before the Event

Introductory biography?
Audio/visual needs delivered?
Prepare handouts?

Speaker’s Responsibilities Day of the Event

Local transportation to the event? Yes or no
Arrive at (time)

Speak for (length of time)

Handouts? Yes or no
If yes, master copies must be delivered by (date)

Evaluation worksheets?

Yes or no

Fees and Expenses

Budget for appearance fees and how paid
Expenses covered by organization?
Airfare? Yes or no

Ground transportation?

Yes or no

Hotel? Yes or no
Meals? Yes or no
Equipment? Yes or no
Handouts? Yes or no
If yes, number of nights?

 

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