PRE-PROGRAM QUESTIONNAIRE

The purpose of this survey is to help David Rohlander understand the composition, concerns and needs of your group. This information will be used to plan and personalize David’s  presentation to your group

Comments or questions are welcome.

*(denotes required field)

Name: *

E-Mail Address: *

Date of Presentation

Location

Event Start/End Time

Desired Topic

Presentation Length

Suggested Title or Theme

How many people will be in attendance?

Please estimate the percentages of each of the following groups

Top Management | Middle Management | Supervisors | Frontline

Will there be any special guests?:

yes no

Please share who they are and a little bit about them.

Why did you choose the specific topic listed above that you want David to address?

What is the PURPOSE of this meeting?

What is the anticipated THEME of the meeting?

What is SPECIAL about this group?

What do these people do especially well?

What is your personal goal for the meeting?

Are there any significant events or developments coming in the near future?

Can you think of any other useful information as we prepare the presentation?

CAPTCHA Code: *

Please feel free to call David at 714.771.7043 or email mailto:david@davidrohlander.com