Professional Public Speaker :: Pre-Event Questionnaire


This preprogram questionnaire will enable Henry to fine-tune his presentation to the exact needs of your group. Feel free to skip any questions that you feel do not pertain, or merely duplicate your answers. Your help in completing this program will increase the value of the program to your audience! You may copy or paste this questionnaire into your word processing program, or we can deliver a hard-copy to you. Complete the questionnaire and return to us as soon as possible.


Will you please help me prepare a program, which is specifically suited to your group's needs? The answers to these questions will enable me to tailor my presentation appropriately.

Please answer the questions as fully as possible. Please feel free to skip any questions, which are not relevant to your group.

After answering the questions, please return the form to:

Henry Goudreau
PMB 303
5824 Bee Ridge Road
Sarasota, FL 34233
Phone/FAX (941) 377-1254

Thank you for your help in producing a quality event!

1. What is the purpose of your meeting?
What is its theme?

2. What are the major challenges faced by the people who will be attending our program?




3. When does your meeting begin? (Date and time)

When does it end?

When is my program?

4. How would you describe the anticipated audience?

Number of people expected: ________

____ % members and ____ % guests or spouses.

Average age: ______ Range of ages: ______ to ______ Educational background(s):

Sex: ___ % Male ___ % Female

Approximate annual income: $ _____________

Is their attendance at your meeting mandatory? ___

At my program? _____ Other characteristics:

5. Will there be many people who are different from the description in the previous question?

How are they different?

6. Please describe what the audience will be doing in the hour preceding my program:

What will they be doing after my program?

7. What should I know about the people in your group before I start my program?
Are there any problems, competition, resentment or peer pressure that I should know about?

8. What professional speakers have you used in the past?
What did they speak on?

9. What other professional speakers will be presenting at this meeting?
What will they speak on?
Are they speaking before or after my presentation?

10. Is there anyone who will be in the audience and who is especially well known and well liked, who would enjoy it if I made humorous references to them - in the appropriate situation, of course.
Please list their names and titles or positions:

11. Please list the names and titles of your TOP people who will be at my program?

12. What significant events have occurred within your industry or to your group during the past year?

13. What interesting events (they don't necessarily have to be 'significant') have occurred within your industry or to your group during the past year?

14. What are you trying to accomplish with this meeting?

15. Why do you think I'll be an asset to the meeting?

16. What are you hoping to accomplish with my particular program?

17. How would you like the audience to feel when they leave my session?

18. What idea(s) would you like the audience members to learn from my program?

19. Are there any particular topics or issues that I should address during my program?
Are there any sensitive issues that I should avoid?

20. Please list some industry-specific terms, phrases, jargon, or acronyms that I might incorporate into my presentation:

21. Do you have any suggestions to help me make this program successful?

22. If I have any problems getting to the program, whom should I contact?
Please provide business, beeper, and home phone numbers:

23. Please provide the name and title of my introducer and how I can contact him/her:

24. I have found that audience members want to take something home with them, to continue the learning process. I offer a number of learning materials, including:

Audio Tapes:

"How to Build BIGGER Profits In Your Construction Business"

"How to Sell and Market Your Construction Services Like Magic!"

Video Tape:

"How to Build BIGGER Profits "
Full day (6hrs.) Seminar tape series

"How to Market & Sell Like Magic!"

How do you want to handle this post-program learning? __
Group purchase of materials at discount __
Deliver before the program __
Deliver at the end of the program __
Make material available for individual purchase __
Order form at each seat __
Materials sold at back-of-room __

25. When returning this questionnaire, please also send me any printed material (newsletters, brochures, annual reports) on your group or your industry. This will help me to customize my presentation.

26. Who should I send my master copy of the presentation workbook to, and by what date?

27. Please send some blank stationery for your organization (or other material containing your organization's logo) so that I can personalize my materials for your group.


To book Henry to Speak at your next meeting or event!
Contact: HG & Associates, Inc. at (941) 377-1254
e-mail: Booking Henry!

Need a keynote? Call Henry FIRST for a tailored presentation!


We hope these will assist you in your pre-event planning and publication process. If you need any other materials, please call 941-377-1254.