Pre-Event Questionnaire

SECTION 1: LOGISTICS

Organization Name

Your Name and Title/Position

Work Phone

Area CodePhone Number

Mobile Phone (so we may contact you the day of the event)

Area CodePhone Number

E-mail

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

List any secondary points of contact including name, title, phone and email

Event Location (Theater Name, Meeting Room #, etc.)

Event Location Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Travel Info (if applicable). Include hotel name, website, address, phone and confirmation #. Please book a non-smoking room (with 2 beds in case Devin's wife and kids are able to tag along). What is the name of the closet airport to your event's location?

Date and Time of Event

MonthDayYearHourMinutesAM/PM Option

Devin's Start Time

:HourMinutesAM/PM Option

Devin's Program Length

Rough agenda (particularly surrounding Devin's presentation). If there is a meal, is it in the same room in which Devin will be presenting?

Is Devin invited to eat with your group or should we make other meal arrangements?

Which program has been decided on?

Other

Expected Number of Attendees

Describe Attire

Theme/Purpose of Event

Who will the audience consist of? Which departments, facilities, regions, states and countries will be represented?

Are attendees bringing their significant other?

List key individuals and their titles, whether or not they will be present (CEO, CFO, COO, President, etc.)

Have there been any recent achievements or awards for your organization? Points of pride?

What basic products and/or services does your organization provide and what daily activities are performed at work?

What problems currently exist with the attendees? What makes their jobs difficult?

Words/Phrases/Ideas to possibly include (theme, motto, buzz words, acronyms, inside-jokes, etc.)

Words/Phrases/Ideas to avoid (who or what do you not want to be associated with?)

Will Devin be allowed to sell his book and DVDs following the presentation?

Will Devin be allowed to bring in a third party to record his presentation for demo video purposes?

Would you like to learn about custom flyer/poster packages for your event?

If you have an educational or gift budget, would you like to explore the option of gifting any of Devin's products to the attendees?

How did you hear about Devin Henderson?

Additional Comments or Questions