Pre-Program Questionnaire

Mitchell is looking forward to helping you create a successful meeting with impact and long term take home value for your attendees. This questionnaire is designed to help us prepare a customized presentation. Please answer all applicable questions and hit submit below.

Organization*
Date of Presentation*
DD slash MM slash YYYY
What are your specific objectives/results desired for my session?
What is the specific purpose and theme of this meeting (annual meeting, awards, etc.)
What is the mission/philosophy statement for your company/organization?
Are you announcing any new products, services or other changes at this meeting?
What are some current problems/challenges/breakthroughs experienced by your organization or industry?
What are the top challenges faced by people who will be in the audience?
What do you think they have to do to overcome these things?
Has the audience's business, industry or job changed in the last 5 years? If so, how?
Special jargon/terminology to use?
Issues/terms to avoid?
An executive, manager and/or employee I might contact to get additional perspective:
Name Title Phone
Number of people attending
Previous speakers used:
Name Topic
What takes place immediately before/after my program (speaker, meal break, etc. If another speaker, please indicate topic)
Before
After
Meeting Time Begin:
End:
My program Begin:
End
Name/title of my introducer:
Name and title of senior executives:
Name Title
Meeting location:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Closest Airport (# miles from site):
How do I get from airport to site?
Limo Co. Name:
Other:
Phone No.:
Top people to recognize in audience:
Name Title Reason
When, where, who and how should Mitchell contact upon arriving at hotel?
Emergency Contact? Name:
Bus #
Home #
Cell #
What can you add which might help us do an even better job?
Annual report
Max. file size: 50 MB.
Company newsletter/paper/flyer
Max. file size: 50 MB.
Key product brochures
Max. file size: 50 MB.
Meeting agenda/invitation
Max. file size: 50 MB.
Please send me the following information (if available):
Special promotions/campaigns
Max. file size: 50 MB.

Name	Title	Phone

Name	Topic

Name	Title

Name	Title	Reason