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PRE-PROGRAM
QUESTIONNAIRE for Mark Sincevich’s Programs DOWNLOAD PDF
This questionnaire is a valuable aid in customizing Mark's presentation
for your audience. Please take the time to fill out all of the applicable
questions about your audience. (Not every question is applicable!) If
you need to use the back of the questionnaire or additional paper, please
do so. The more information Mark has, the better. It would also be helpful
to have the following:
• The agenda that includes Mark's presentation
• Past agendas from similar meetings
• Brochures or web links for information about your company, products
and services
• Information sent to the meeting attendees; brochures, promotional
materials, etc.
Thank you very much, and we look forward to working with you!
PLEASE RETURN THIS
QUESTIONNAIRE TO:
Mark Sincevich
Leading with Focus
4938 Hampden Lane, Suite 212
Bethesda, MD 20814
Phone: (301) 654-3010
Fax: (301) 654-2657
Email: info@LeadingwithFocus.com
PRE-PROGRAM QUESTIONNAIRE
Name of company/organization/association:
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Name of person
completing this questionnaire:
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Phone
number (and extension):
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Email address:
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Presentation
Date:
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Starting time
of Mark's program:
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Ending time of
Mark's program:
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Presentation
Site:
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Address:
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City, State,
Zip:
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Phone #:
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Travel
Arrangements
Arrival Date:
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Flight arrangements:
Mark usually makes his own air reservations.
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Closest
airport:
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Hotel accommodations:
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Address:
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City, State &
Zip:
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Phone #:
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Hotel confirmation
number:
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Ground Transportation:
Mark usually takes a cab unless other arrangements are made.
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Audience Profile
1. Audience size: ____________
2. How will the audience be seated?
[x] Curved Faced the Podium (Preferred)
[ ] Theater
[ ] Classroom
[ ] Round tables
[ ] Other (please specify): _____________________
3. Are spouses invited? [ ] Yes [ ] No
4. Percentage of males/females? Males: _____% Females: _____%
5. Please describe in one or two sentences what your company or organization
does.
6. Please describe the audience. What are the major job responsibilities,
titles, etc? (This is very important!)
7. Who are the customers of the audience?
8. Please list the names of key company executives (and their positions)
who will be attending the meeting.
The Meeting
9. What is the "theme" of your meeting?
10. What is the reason/purpose/goal for this meeting? (Annual sales conference,
industry meeting, incentive program, etc.)
11. Who else will be speaking at the meeting (and on what subjects)?
12. Who has spoken in the past (and on what subjects)?
13. What takes place immediately before and after Mark's presentation?
Before:After:
14. Who will introduce Mark? _________________________________
15. What are three things you want people to remember when Mark's presentation
is completed? (This is VERY important!)
16. Can you offer any suggestions to make this the best presentation your
audience has ever heard?
17. Are there any issues that should be avoided?
18. What will be the appropriate attire for the attendees and how would
you like Mark to dress?
Company Information
19. What is your company's mission statement?
20. Who is your competition and why should a customer buy from you over
your competition? What makes you special, unique, etc.?
21. What are the three most important things I should know about your
organization?
22. What are the three greatest accomplishments your company has had this
year?
23. Are there any objections, problems, concerns or confrontations the
audience is dealing with in their jobs or with what they sell?
24. In case there are any other questions or additional research Mark
might need, could you please list the names, titles and phone numbers
of two more people who might help?
25. What are the two or three best books written about your industry?
26. What question(s) have we neglected to ask that would help Mark better
understand your company, association or industry?
Retaining
Information
27. The goal of every program that Mark presents is to
have people retain the information for as long as possible. There are
many ways to do this, and we would like you know about a few of them.
A major advantage of presenting products to your audience is that it allows
the program to keep on giving. Please refer to the Staash Press Product
Page at http://www.staashpress.com/products.html
Mark has the ability to digitally record his programs so that
you can distribute it to your audience for increased knowledge retention.
Each Audio CD is professionally edited and mastered and will provide for
a consistent reinforcement of the message.
[ ] Please call Mark to discuss these arrangements.
Articles Mark has written a series of articles. Each article is approximately
750-1800 words long and focuses on customer and internal service. They
can be used in your organization's publications, emails, etc. There is
no charge to use the articles. All we ask is that you include Mark's bio
at the end of the article and send us copies of any publications in which
they are used.
[ ] Please send me the articles on (circle one) disk, hard copy, both
or via email.
The Leadership LENS This is a publication available through E-mail. It
is a monthly resource providing insight, opinion and practical information
on creativity and balance. Please go to Mark's web site www.staashpress.com
and register. There is no charge to receive The Leadership LENS. You are
welcome to register as many people as you would like.
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