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SPEAKERS NETWORK PRE-PROGRAM QUESTIONNAIRE

RE: _______________________________________________________________________

PLEASE RETURN BY: _____________
In order to meet the precise needs of your upcoming meeting, we would like to provide your chosen speaker with the following information. Please invest a few minutes to answer the questions you feel would be important and return them to us at your earliest convenience. Thanks! 
1. Who will be in attendance?

A. Total number ________

B. Male/Female Ratio / % _____/______%

D. Approximate ages _____ to _____

E. Educational background __________________________________________________

F. Job Titles _________________________      _________________________

                       _________________________     _________________________

                       _________________________     _________________________

G. Names and positions of top management people _______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________
2. What is the theme for your conference/meeting? _______________________________

_______________________________________________________________________
3. What is the mission/philosophy statement for your company/organization? ___________

_______________________________________________________________________
4. Briefly describe your products/services:  _____________________________________

_______________________________________________________________________
5. What are the top three challenges faced by the people who will be attending?

A. _________________________________________________________________

B. _________________________________________________________________

C. _________________________________________________________________
6. What three specific things do you think I should know regarding the people attending?

A. _________________________________________________________________

B. _________________________________________________________________

C. _________________________________________________________________
7. During the past year, what are three significant events which occurred in your association or organization?

A. ________________________________________________________________

B. ________________________________________________________________

C. ________________________________________________________________
8. Specifically, what "local color" should I use in my presentation? This could be anything, such as a new Company policy, an in-house buzz word, a local drinking place, a funny person, poor food, a broken piece of equipment, local weather, or achievement of a top official in your organization.

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________
9. Based on other programs your people have attended with an outside speaker, what have they:

A. Liked least? ___________________________________________________________

B. Liked best?  ___________________________________________________________
10. Do you have any other ideas that might help me make this the most meaningful and worthwhile presentation your people have participated in? Are there any sensitive area I should stay away from? __________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________
11. What is the name and what is your main objective for this meeting/conference?  ______

_______________________________________________________________________

_______________________________________________________________________
12. What are the top two objectives for my presentation?

A. _____________________________________________________________________

B.  _____________________________________________________________________
13. Schedule - what is happening before and after my presentation? ____________________

________________________________________________________________________

________________________________________________________________________
(Optional)
14. Top people to recognize in the audience or people to poke "fun" at:

Name: Title: Reason: 

____________________  ___________________________   ______________________

____________________  ___________________________   ______________________

Name: Title: Reason: 

____________________  _________________________   ______________________

____________________  _________________________   ______________________
14. Please list past speakers: ________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Note: Please send a copy of all memos, program announcements, brochures, and other promotional materials relating to this meeting so this presentation will be consistent with your promotion.

In addition, any annual reports, a company newsletter/paper/flyer, or any key product brochures would be appreciated if available.

THANK YOU VERY MUCH . . .

Our Speakers

  • Afterburner Seminars - Communication, Peak Performance, Patriotic, Teamwork / Teambuilding, Sales, Leadership

  • Tony Alessandra - Sales, Customer Service, Communication, Management, Teamwork / Teambuilding, Diversity

  • Jeff Blackman - Change, Customer Service, Negotiation, Sales, Business Growth

  • Benjamin Akande - Business Growth, Leadership, Branding, Management, Business Trends

  • John Alston - Attitude, Performance Improvement, Stress, Change, Communication, Motivation

  • Vincent Amanor-Boadu - Agriculture, Strategic Planning

  • Carol Grace Anderson - Motivation, Change, Stress, Attitude, Healthcare, Life Balance

  • Dr. Barry Asmus - Economy, Global Economics, Healthcare, Patriotic, Business Trends

  • Holly Atkinson - Media, Women's Health, Business, Women in Society, Health & Nutrition

  • Emory Austin - Cancer, Communication, Leadership, Change, Customer Service, Motivation

  • Byrd Baggett - Leadership, Teamwork / Teambuilding, Sales

  • Rick Barrera - Customer Service, Future, eCommerce, Business Growth, Change, Branding

  • Harry Beckwith - Marketing/Merchandising, Sales, Customer Service, Strategic Planning, Business Growth, Branding

  • Arden Bercovitz - Change, Leadership, Motivation, Creativity, Character Portrayals, Diversity

  • Jeff Blackman - Change, Customer Service, Negotiation, Sales, Business Growth

  • Ira Blumenthal - Strategic Planning, Marketing/Merchandising, Change, Business Growth, Branding, Partnering/Strategic Advantage

  • Wally Bock - Technology, Sales, Business Trends, Leadership, Strategic Planning

  • Walter Bond - Leadership, Peak Performance, Change, Sales, Motivation, Attitude

  • Dr. Joan Borysenko - Healthcare, Best-selling author, Life Balance, Women's Health, Wellness

  • Charlie Brennan - Customer Service, Sales

  • Joan Brock - Best-selling author, Change, Family, Inspirational, Health & Nutrition, Women in Society

  • Michael Broome - Humor, Motivation, Sales, Teamwork / Teambuilding

  • Les Brown - Motivation, Empowerment, Goal Setting, Life Balance, Communication, Sales

  • Frank Bucaro - Ethics/Integrity, Business, Management, Leadership, Attitude, Corporate responsibility

  • Bob Burg - Networking, Conflict Resolution, Business Growth, Performance Improvement, Communication, Sales

  • Daniel Burrus - Future, Business Trends, Technology, Internet, Strategic Planning, Business Growth

  • Joe Calhoon - Goal Setting, Communication, Business Growth, Leadership

  • Joe Calloway - Performance Improvement, Best-selling author, Peak Performance, Business, Motivation, Customer Service

  • James Canton - Global Economics, Success, Economy, Business, Motivation, Change

  • Dave Carey - Motivation, Inspirational, Teamwork / Teambuilding, Coaching, Organizational Development, Leadership

  • Jim Carroll - Future, Business Trends, Change, Global Economics, Business Growth, Leadership

  • Jim Cathcart - Leadership, Sales, Customer Service, Peak Performance, Business Growth, Presentation Skills

  • Tim Cavanagh - Humor, Master of Ceremonies, Entertainment

  • Eric Chester - Employees/Workforce, Generation Issues, Management, Performance Improvement, Future, Education

  • Christine Clifford Beckwith - Sales, Marketing/Merchandising, Healthcare, Humor, Inspirational, Cancer

  • Captain Gerald Coffee - Vision/Purpose, Leadership, Inspirational, Communication, Creativity, Change

  • Roger Crawford - Motivation, Inspirational, Peak Performance, Empowerment, Sports/Athletics, Attitude

  • Pat Croce - Goal Setting, Sports/Athletics, Leadership, Competition, Motivation, Teamwork / Teambuilding

  • Li Cunxin - Empowerment, Peak Performance, Motivation, Goal Setting, Vision/Purpose, Success

  • Derek Daly - Sports/Athletics, Motivation, Teamwork / Teambuilding, Performance Improvement

  • Scott Deming - Business, Branding, Customer Service, Entertainment, Leadership, Teamwork / Teambuilding

  • Dr. Mark DeVolder - Change, Teamwork / Teambuilding, Diversity, Leadership, Motivation, Communication

  • Maddy Dychtwald - Business Trends, Marketing/Merchandising, Business Growth, Consumer Trends

  • Bob Eubanks - Celebrity, Communication, Diversity, Life Balance, Master of Ceremonies, Success

  • Durwood Fincher - Entertainment, Humor

  • Roy Firestone - Entertainment, Sports/Athletics, Humor, Motivation, Character Portrayals

  • Tom Flick - Leadership, Teamwork / Teambuilding, Change, Customer Service, Sales, Sports/Athletics

  • Ed Foreman - Inspirational, Peak Performance, Performance Improvement, Success

  • Colleen Francis - Sales, Negotiation, Customer Service, Business Growth

  • Juliet Funt - Stress, Communication, Presentation Skills, Life Balance, Parenting, Inspirational

  • Tim Gard - Humor, Leadership, Stress, Motivation

  • LaDonna Gatlin - Inspirational, Motivation, Attitude, Change, Empowerment, Ethics/Integrity

  • Steve Gilliland - Teamwork / Teambuilding, Customer Service, Leadership, Motivation, Attitude, Change

  • Joyce Gioia Herman - Human Resources/Labor Relations, Business Trends, Future, Inspirational, Employees/Workforce, Management

  • Dave Gorden - Healthcare, Teamwork / Teambuilding, Business of Healthcare, Empowerment, Motivation, Management

  • Keith Harrell - Motivation, Leadership, Change, Attitude

  • Sue Hershkowitz-Coore - Best-selling author, Sales, Communication, Business, Performance Improvement, Success

  • Vicki Hitzges - Peak Performance, Teamwork / Teambuilding, Stress, Motivation, Relationships, Customer Service

  • Suzie Humphreys - Motivation, Inspirational, Humor

  • Wayne Humphreys - Change, Agriculture, Humor, Motivation

  • Don Hutson - Motivation, Sales, Communication, Leadership

  • Chad Hymas - Inspirational, Motivation, Leadership, Safety/Security, Change, Communication

  • Ralph Jacobson - Organizational Development, Leadership, Change, Human Resources/Labor Relations

  • Craig Karges - Magic, Entertainment, Empowerment, Motivation, Peak Performance, Success

  • Consuelo Castillo Kickbusch - Diversity, Military, Education, Leadership, Inspirational

  • Frank King - Humor, Motivation, Health & Nutrition, Political, Character Portrayals, Current events

  • Robert Kriegel - Business, Change, Creativity, Sales, Leadership, Future

  • Jay Lehr - Agriculture, Environmental Policy, Aging, Health & Nutrition, Retirement/Aging, Green / Environment

  • Patrick Lencioni - Leadership, Change, Organizational Development, Teamwork / Teambuilding

  • Mary LoVerde - Life Balance, Stress

  • George Ludwig - Sales, Peak Performance, Wealth Building, Psychology

  • Jerry Markbreit - Motivation, Sports/Athletics, Teamwork / Teambuilding

  • Damian Mason - Humor, Political, Agriculture, Celebrity, Business

  • Mark Mayfield - Change, Customer Service, Humor, Stress, Entertainment, Creativity

  • Jack McCall - Leadership, Motivation, Change, Humor

  • Eileen McDargh - Life Balance, Leadership, Change, Motivation, Women in Society, Communication

  • Kelly McDonald - Business Trends, Marketing/Merchandising, Advertising/Public Relations, Diversity, Business Growth, Generation Issues

  • Scott McKain - Customer Service, Leadership, Business Growth, Branding, Business, Communication

  • Ken Medema - Humor, Diversity, Change, Teamwork / Teambuilding

  • Jim Meisenheimer - Sales, Customer Service, Time Management/Self-Management, Management

  • Michael Melnik - Change, Attitude, Training, Leadership, Success, Human Resources/Labor Relations

  • Albert Mensah - Sales, Change, Customer Service, Motivation, Sports/Athletics, Business Growth

  • Frank Miles - Performance Improvement, Success, Humor, Motivation, Entertainment

  • W Mitchell - Inspirational, Motivation, Success, Leadership, Change, Diversity

  • Hank Moore - Future, Strategic Planning, Healthcare, Change, Consulting, Innovation

  • Jim Morris - Political, Humor, Government & Politics, Entertainment, American Legends, Master of Ceremonies

  • David Naster - Health & Nutrition, Human Resources/Labor Relations, Motivation

  • Rich Natole - Character Portrayals, Humor, Entertainment, Master of Ceremonies

  • Deborah Norville - Political, Success, Women in Society, Healthcare, Life Balance, Family

  • Kevin E. O'Connor - Leadership, Business of Healthcare, Presentation Skills, Coaching, Communication, Medical/Dental

  • Joe O'Rourke - Motivation

  • David Okerlund - Motivation, Attitude, Healthcare, Agriculture, Change, Leadership

  • Jim Pancero - Sales, Consulting, Training, Branding, Teamwork / Teambuilding, Business Growth

  • Alan Parisse - Business, Change, Leadership, Sales, Real Estate, Business of Healthcare

  • Mark Pearson - Agriculture, Green / Environment, Marketing/Merchandising, Humor

  • Bob Phibbs - Retail/Restaurant, Sales, Business Growth, Marketing/Merchandising, Customer Service, Employees/Workforce

  • Connie Podesta - Leadership, Management, Motivation, Humor, Relationships, Communication

  • Bob Pritchard - Motivation, Change, Customer Service, Marketing/Merchandising, Branding, Leadership

  • Howard Putnam - Leadership, Customer Service, Corporate responsibility, Management, Change, Ethics/Integrity

  • Nido Qubein - Communication, Peak Performance, Leadership, Productivity, Success, Sales

  • James Ray - Best-selling author, Inspirational, Vision/Purpose, Goal Setting, Entrepreneurism, Peak Performance

  • Andrew Razeghi - Innovation, Creativity, Leadership, Strategic Planning, Business Growth

  • Don Reynolds - Political, Global Economics, Business Trends, Change, Economy, Future

  • Naomi Rhode - Medical/Dental, Teamwork / Teambuilding, Leadership, Motivation, Inspirational

  • Jeanne Robertson - Life Balance, Change, Communication, Humor, Motivation

  • Anne Ryder - Religion / Spirituality, Vision/Purpose, Relationships, Life Balance, Inspirational, Healthcare

  • Mark Sanborn - Change, Customer Service, Leadership, Teamwork / Teambuilding, Best-selling author

  • Barbara Sanfilippo - Motivation, Customer Service, Sales, Employees/Workforce, Life Balance, Success

  • Mike Schlappi - Inspirational, Motivation, Education, Success, Sales, Healthcare

  • Shawna Schuh - Sales, Communication, Etiquette, Relationships, Leadership, Presentation Skills

  • Greg Schwem - Humor, Entertainment, Master of Ceremonies, Technology, Computers

  • Don Shula - Sports/Athletics, Motivation, Cancer, Healthcare

  • Ozzie Smith - Sports/Athletics, Business, Motivation, Teamwork / Teambuilding, Competition

  • Mary Sotile - Relationships, Life Balance, Women in Society, Success, Communication

  • Wayne Sotile - Relationships, Healthcare, Psychology, Family, Humor, Performance Improvement

  • Laura Stack - Organizational Skills, Life Balance, Information Overload, Time Management/Self-Management, Productivity, Stress

  • Dr. Gene Stanaland - Economy

  • Russ Stolnack - Humor, Entertainment, Master of Ceremonies, Character Portrayals

  • Jim Stovall - Attitude, Humor, Diversity, Success, Vision/Purpose, Motivation

  • Jeff Thredgold - Economy, Future, Current events, Global Economics, Government & Politics, Business

  • Jeff Thull - Sales, Strategic Planning, Marketing/Merchandising

  • Bryan Townsend - Customer Service, Humor, Inspirational, Teamwork / Teambuilding, Motivation, Education

  • Robert B. Tucker - Innovation, Business Growth, Creativity, Business

  • Bruce Tulgan - Management, Teamwork / Teambuilding, Generation Issues, Coaching, Human Resources/Labor Relations, Leadership

  • Jim Tunney - Customer Service, Motivation, Teamwork / Teambuilding, Leadership

  • Art Turock - Change, Leadership, Sales

  • Joe Tye - Vision/Purpose, Motivation, Business of Healthcare, Leadership

  • Phillip Van Hooser - Leadership, Customer Service

  • Peter Vidmar - Goal Setting, Sports/Athletics, Motivation, Teamwork / Teambuilding, Creativity, Peak Performance

  • Bill Wagner - Business Growth, Employees/Workforce, Entrepreneurism, Leadership, Organizational Development, Performance Improvement

  • Denis Waitley - Productivity, Change, Image/Self-Esteem, Motivation, Peak Performance

  • Marcia Wallace - Celebrity, Healthcare, Cancer, Women's Health, Inspirational

  • George Walther - Communication, Customer Service, Leadership, Sales, Business of Healthcare, Motivation

  • Matt Weinstein - Stress, Humor, Best-selling author, Management, Teamwork / Teambuilding, Motivation

  • Desi Williamson - Leadership, Sales, Diversity, Motivation

  • Orvel Ray Wilson - Best-selling author, Sales, Marketing/Merchandising, Competition, Negotiation, Motivation

  • Barry Wishner - Change, Leadership, Sales, Business Growth

  • Richard Worzel - Future, Generation Issues, Business Trends, Consumer Trends, Strategic Planning, Innovation

  • David Yoho - Sales, Marketing/Merchandising, Negotiation, Competition, Communication

  • David Zach - Change, Business Trends, Vision/Purpose, Education, Technology, Future



    • Professional Speakers Network
    P.O. Box 810
    Zionsville, IN 46077
    Fax 317-873-0800 - Toll Free 800.222.1556

    info@tillergroup.com





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