Maximum Motivation
P.O. Box 3531
McKinney, Texas 75070

Phone: (972) 547-0840
Fax: (972) 547-0848
Email: Dewayne@DewayneOwens.com




PRE-PROGRAM QUESTIONNAIRE

Thank you for taking the time to complete the following information. This questionnaire will enable DeWayne to prepare and fine-tune his presentation to better serve you. Your assistance will help to insure the success of your program. Please feel free to add any relevant information you feel that DeWayne should be aware of.

MEETING INFORMATION

Your Name
Email Address
Phone Number
Company Name
Meeting Date
What kind of meeting is planned?
Length of talk
Time: Beginning
Time: Ending
Number of Attendees
What is the demographic makeup of the audience? Age:
Percentage of Males
Percentage of Females
Cultural Mix
Average Income
What is the Theme of your Meeting?
What are the sensitive issues or areas of concerns?
What is the biggest challenge your company is facing today?
What is the purpose or mission of your company?
What industry jargon do you want injected during the presentation?
What three points of information do you want DeWayne to address during the presentation?
How do you want your people to feel after they leave DeWayne’s presentation?
What events take place before and after DeWayne speaks?
Other Relative Information
How did you hear about DeWayne?
 
 

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