Company/Association Name:

Meeting/Activity Date:

Beginning Time: AM PM   

Ending Time: AM PM  

Number of people attending:

Percentage:  Male    Female

Who will attend?   Middle School High School Teacher In Service/Staff Development College Corporate Other

What is the demographic makeup of the audience?

Age:   Sex: Female Male   

Education:

Other Relative Information:

Should the message be targeted to a specific group?  Yes No  

If yes, which one?

What part of the Conference/Meeting is our speaker Speaking?

What are the three points you would like emphasized in the speech?

What do you want people to do differently as a result of hearing from the speaker?

What are their concerns?

What new trends or changes are taking place in the industry at the moment?

What are the sensitive issues?

Are there any controversial issues that should be avoided? Please explain.

What is the biggest challenge your company is facing today?

What is the purpose of this meeting or conference?

Is there a company slogan or philosophy that is commonly used in your organization?

Any industry jargon that you want intertwined into speaker's presentation.

Anything funny or interesting we should know about?

How did you hear about us?

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