Real Speaking: Speaking Engagement Questionaire

Speaking Engagement Questionnaire

Contact Information
Name of Group or Organization
Contact Person
Title
Company Name
Address
City
State
Zip
Telephone
Fax
E-mail
Program Information
Date of Program or Event
Time and Length of Program or Event
Size of Audience
Who will be in the audience and what are their interests?
Background of Program or Event
Is this a regularly scheduled event or first time?	Regularly scheduled First time
What speakers have you used in the past?
With what speakers have you had the greatest success?
Goals and Outcome
What outcome do you want from this program?
How will you know that together we have succeeded in providing that outcome?
*I look forward to speaking with you personally. Thank you for the opportunity to explore working together!*