Pre-Event Questionnaire

To help Linda tailor this program to your company’s needs, please take a few minutes to answer the following questions. You may respond online or by printing this document and faxing it to (972) 416-0220. If you would prefer to answer this questionnaire by phone, please call us. Feel free to skip any question that doesn’t apply to your company and use additional pages if you need more space to respond or provide additional comments.

Contact Information
Contact Person (required)
Contact email (required)
Office Phone
Office Fax
Cell
Website
Best Time to Reach you:
Your Event
Program date(s)
Start Time
End Time
Where will program be held?
What would you like your people to be able to do better when they leave the program?
Will there be managers in the training?	Yes NO
if Yes, how many:
How many people will be there
- what jobs do they hold?
Are there any key words or ideas you want Linda to emphasize?	Yes NO
- if yes, what?
Are there any “sensitive issues” or “taboo terms” that should be avoided?	Yes NO
- if yes, what?
What else do you feel Linda should know before addressing your group?
What are your objectives for the presentation Linda will be giving? (Check all that apply.)
What have trainers done in the past that was a big hit with your group?
What have trainers done in the past that “flopped” or you would never want repeated again?
	Increasing professionalism
	Improving attitudes and motivation
	Accepting growth/change in your group/division
	Ensuring that workplace harmony is a priority
	Improving negotiation and persuasion ability
	Enhancing manager/employee relations
	Maximizing results from investment of effort, time and funds
	Other
other:
Your Organization
What challenges are you facing in the next year?
What amount of change do you expect to take place in your organization in the coming year?
Extreme Moderate Light None
Explain change:
Who are your primary competitors?
What are the terms used to refer to your customer?
Customer Client Member Other
Other:
Audience
What do staff members like most about their jobs?
What do staff members like least about their jobs?
What do managers like most about their jobs?
What do managers like least about their jobs?
What are the terms used to refer to people with management authority?
Supervisor Manager Team Leader
Other terms for managers
What are the terms used to refer to employees?
Employee Staff Team Member
Other terms for employees
Anticipated number in the program
Average age/range
Average education
Average income
Level of experience
Male/Female Percentage	% Male % Female
Logistical Information
Hotel Name & Address
Hotel Phone Hotel Fax
Hotel Confirmation
Into what airport should we schedule Linda’s flight?
How far is the hotel from the airport?
How should Linda travel to the hotel? (take a cab, rent car, driver will pick up, etc.?)
Contact At Meeting Site
Would you like Linda to notify someone after she arrives at the site?	Yes No
If so, whom shall she contact? [Phone]
Who will be Linda’s contact during the event?
Name:
Title
Phone:	Office: Cell:
Please provide the names of at least three people who Linda may contact if she needs additional information about your group.
Name Title Phone Email
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