A little information we need from you.

Event Planning Questionnaire

Fields with a * are required.

Primary on-site contact

* Name

Professional Title

* Phone Number

* Email Address

* Organization

* Address

* City

* State

* Zip

Secondary on-site contact

Name

Professional Title

Phone Number

Email Address

Organization

Address

City

State

Zip

Event Details

* Event Location

* Date(s) of event

* Name(s) and/or type(s) of speakers

* Exact schedule for speaker(s) (length of presentation, function)

* Best time for speaker to do an A/V and room check

Travel + Accommodations

If speaker is flying to your location

Airline

Flight Number

Departure City

Name of car service providing local ground service (if applicable)

Confirmation number for airport pickup reservation

What time should speaker be ready in front of the hotel/venue for return to the airport?

Confirmation number for return-to-airport reservation

If speaker is driving to your location

Parking Information

If speaker is being housed at a hotel separate from the meeting location

Hotel Name

Address

Phone Number

Confirmation number for speaker's hotel room reservation

Audience

Expected number of attendees at event

Are spouses included?

Anticipated ratio males/females

Average age of group

Job titles and other description of expected attendees

Names and positions of top management people expected to attend

General Background

Type of event (annual meeting, awards ceremony, conference, etc.)

Industry to which your company/organization belongs

Program theme

Meaning of theme to your group

Proper attire for this event (black-tie, business, etc.)

What you would like the speaker's presentation to accomplish

What takes place immediately before/after the speaker's presentation (another speaker, break, etc.)

Issues and challenges facing your company/organization

Target markets/industries/customers your company/organization primarily serves

Three main things speaker should know about the audience

Primary product or service sold by your company

Your company's major competitors

Special attributes that make your company unique in the industry

Jargon speaker should be familiar with (acronyms, titles)

Based on other programs your people have attended with an outside speaker, what have they liked and disliked?

Top people in the audience to recognize or "poke fun" at, and why

Sensitive topics or areas the speaker should avoid

Suggestions for "local color" to be used in the speaker's presentation: a new company policy, an in-house buzzword, etc.

Any additional information, or special requests, that would be helpful in tailoring this presentation for you group

“The speaker you recommended absolutely exceeded our expectations!”

Director Vermont Assn. of Hospitals & Health Systems