Pre-Program Questionnaire for
Company:
Speech Date:

This questionnaire is designed to enable Zeal Okogeri to customize the most effective and beneficial presentation to your group. Please answer all relevant questions, skipping any which may not apply due to the nature of your program.

In order to understand your audience better and estimate their levels of expectation for this meeting, please enclose any printed materials that have been distributed to your group. This might include annual reports, newsletters, meeting agenda, magazines or brochures promoting your event.

You can submit this questionnaire online OR click here for a printable Word Doc of Zeal Okogeri’s Pre-program Questionnaire.

Your Name
Title
Company
Address
Phone
Fax
Email
Website
Best time for Zeal to reach you:


1. What specific objectives/results are desired from Zeal Okogeri's presentation?

2. What is the theme or specific purpose of this meeting?

3. What does the theme mean to your group?

4. Who is responsible for calling this meeting?
Name:	Title:

5. What is the name and title of Zeal Okogeri's introducer?
Name:	Title:

6.. Exact times of Zeal's presentation? (Please attach program agenda)
Starting:	Ending:

7. When is the best time for Zeal to do his A/V and Room Check?
Option #1	Option #2

8. Zeal Okogeri normally wears a suit for his presentations. Will this be appropriate? Suit and tie. If not, what do you suggest

9. What is Zeal's role in the program (Opening or Closing Keynote, Luncheon Speaker, etc.)?

10. What professional speakers have you used in the past?
Speaker:	Year:
Speaker:	Year:
Speaker:	Year:

11. What did you specifically like/dislike about their performance? Why?
Like:

Dislike:

12. Would you like information about Zeal's learning materials to reinforce the impact of Zeal's ideas after his presentation? Yes No

13. What is the nearest major airport to the meeting site?
Distance to meeting site?
Miles:	Time:
14. For transportation from the airport to the meeting site would you prefer: To have Zeal met at the airport? Where?
To have Zeal take a cab? Approximate cost? N/A (Local Meeting) Other

15. Exactly where is the meeting?
Hotel:
Address:
City:
State:
Zip:
Phone #:
FAX#:
*** Confirmation # for the hotel room reservation:

16. If Zeal has any problems/emergencies on his way to the program, who should he contact? (Please include cell, business & home phone.)
Name:
Cell Phone:
Business Phone:
Home Phone:

17. If there is a scheduled function the evening prior, please let us know time, place, nature and appropriate dress:

17. Audience:

Number attending?

Are spouses invited?
Yes No

Percentage of males/females:

Average age of group?

19. Zeal likes to be able to use any local catch phrases or expressions that are unique to his audience. What are some of yours?

20. What have been the three most significant changes that have occurred in your Market place or industry in the last two years?

21. What impact have these changes had on those who will be in the audience for Zeal Okogeri’s presentation?

22. Please use the space below for any additional comments: