Pre-Questionnaire

Thank you for taking the time to supply this information. The more prepared we are, the better we can serve you and personalize the message. Our goal is to help you maximize your company’s success. We want you to look like a hero for choosing Dr. Linda Blakeley.

This is a guideline of information we need from you. Please answer these questions and send to us. Please feel free to use additional paper as necessary. Any other information about your company, your people or your meeting that you can provide will be happily appreciated. Linda promises to read it in order to make your meeting/ seminar/or workshop a success!

COMPANY/ASSOCIATION NAME:
MEETING DATE: month day year
MEETING TYPE:
THEME
NUMBER OF ATTENDEES: PERCENTAGE: MALE: FEMALE
IF DR. BLAKELEY IS SPEAKING AT YOUR CONFERENCE, WHAT PART OF THE CONFERENCE WILL SHE BE SPEAKING AT? (I.E. FIRST OF THREE DAYS):

A. DO YOU HAVE THREE KEY POINTS YOU WOULD LIKE STRESSED?
B. WHAT ARE THE MOST IMPORTANT CHANGES HAPPENING IN YOUR COMPANY AND INDUSTRY?
C. WHAT KEEPS SENIOR MANAGEMENT AWAKE AT NIGHT?
D. WHAT ARE THE CHALLENGES OF YOUR AUDIENCE MEMBERS?
E. WHAT ARE THEIR CONCERNS?
F. WHAT ARE THEIR FEARS? (PLEASE BE HONEST. THIS IS CONFIDENTIAL INFORMATION)
G. WHAT ARE YOUR VICTORIES AS A COMPANY/ ASSOCIATION/TEAM?
H. WHAT WOULD YOU LIKE TO ACCOMPLISH BY DR. LINDA BLAKELEY SPEAKING FOR YOUR GROUP?
I. WHAT DOES DR. LINDA BLAKELEY NEED TO DO TO MAKE HER TALK WORTHWHILE TO YOU?
J. WHAT PERCENTAGE ENTERTAINMENT VS. HIGH CONTENT TECHNIQUES AND STRATEGIES?
K. IS THERE A SLOGAN OR PHILOSOPHY THAT IS COMMONLY USED IN YOUR ASSOCIATION/COMPANY?

WHO WILL BE ATTENDING?
A. MAKE-UP OF THE AUDIENCE, SUPPLIERS, SPOUSES, ETC.
B. SHOULD THE MESSAGE BE TARGETED MORE TO ONE GROUP THAN ANOTHER? IF YES, WHICH?
C. WHAT IS THE LIFE OF THE AUDIENCE ON A DAY-TO-DAY BASIS? (IN OFFICE, FIELD, LONG HOURS, ETC.)
D. WHAT ARE THE FRUSTRATIONS THEY HAVE IN THEIR LIVES, COMPANY OR INDUSTRY?
E. WHAT ARE THE SENSITIVE ISSUES? ANY CONTROVERSIAL ISSUES? TOPICS/SUBJECTS NOT TO BE MENTIONED?
F. ANYTHING HUMOROUS DR. LINDA BLAKELEY SHOULD KNOW ABOUT?
G. ANY INDUSTRY JARGON DR. LINDA BLAKELEY SHOULD BE AWARE OF?
THREE PEOPLE VALUABLE FOR DR. LINDA BLAKELEY TO INTERVIEW:
 (Name, Title, Phone, Fax, Email)
1.


2.


3.
      
THANK YOU FOR TAKING THE TIME TO COMPLETE THIS PREQUESTIONAIRE THOROUGHLY.

WHAT WE NEED YOU TO SEND TO US:

  1. IF THIS IS A CONFERENCE/ MEETING, PLEASE SEND THE AGENDA:
  2. PAST CONFERENCE/MEETING BROCHURES
  3. WHAT OTHER TYPES OF WORKSHOPS HAVE YOU HAD WITHIN THE LAST YEAR?
  4. FOR CONFERENCE/MEETING, LIST OTHER SPEAKERS THAT HAVE BEEN HIRED BEFORE IN THIS SLOT.
  5. INFORMATION ABOUT THE COMPANY/ORGANIZATION (CORPORATE REPORT, HISTORY OF THE ORGANIZATION, PUBLICATIONS, NEWSLETTERS, ETC.)

AFTER WE HAVE RECEIVED YOUR INSTRUCTIONS IN WRITING, WE WOULD LIKE A TELEPHONE APPOINTMENT.

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The Power of Purpose: Motivating for Success | The Magic Dress | 6 P’s for Success: Step-By-Step We Find Our Way | Testimonials | Clients
Linda Blakeley, Ph.D.
420 South Beverly Drive, Suite 100
Beverly Hills, CA 90212
Telephone: (310) 286-9171
Fax: (310) 578-2434
Email
last modified: 5/15/03