Joy Huber, Professional Speaker & Business Communications Expert

This questionnaire is to help us help you achieve total success in your event.
Please complete all fields that apply, and also send us any printed information
(Mail to: JHPI, 5232 North 18th Street, Lincoln, NE 68521) you feel would best help us
understand your organization such as: orientation manuals, product and/or service brochures, annual reports, newsletters or magazines, etc. Be sure to include any promotional mailings
and the agenda for the meeting.

Preliminary Information

First Name

Last Name

Company

Title

Phone

Fax

Email

Website

When is the best time to reach you?

I. THE PROGRAM

A. What is your program THEME?

B. What kind of meeting is it? (annual meeting, awards banquet, etc.?)

C. Who is responsible for calling this meeting? (HR, Sales, Marketing?)

Name

Title

D. What is the name and title of Joy’s introducer?

Name

Title

Phone

Email

E. What are the exact times of Joy’s presentation? (Please attach program agenda)

Starting

Ending

F. When is the best time for Joy to do her A/V and Room Check?

Option 1

Option 2

G. What is Joy’s role in the program (Opening or Closing Keynote, Luncheon Speaker, Breakout, etc.)?

H. Is a photograph and/or program blurb needed for advertising purposes?
Yes: No:

If Yes, to whom should it go?

Name

Title

Phone

Email

I. Who are the other professional speakers on this program?

Speaker 1

Day & Time

Topic

Speaker 2

Day & Time

Topic

J. What professional speakers have you used in the past?

Speaker

Date

Speaker

Date

Speaker

Date

Speaker

Date

K. What did you specifically like about their performance? Why?

K1. What did you specifically NOT like about their performance? Why?

L. Would you like information about Joy’s learning materials to reinforce the impact of Joy’s ideas after her presentation?
Yes: No:

I. Logistical Information

A. What is the nearest major airport to the meeting site?

Distance to meeting site from the airport?

Miles:

Estimated Time:

B. For transportation from the airport to the meeting site would you prefer:

To have Joy met at the airport? Where

To have Joy take a cab? Approximate cost

N/A (Local Lincoln Area)

Other

C. Exactly where is the meeting?

Venue

Address

City

Phone

Website

State/Prov.

Fax

Meeting Room

D. Where will Joy be staying?

Hotel

Address

City

Phone

Website

State/Prov.

Fax

Room Details

E. VIDEO

Will you be using Image Magnification (IMAG)? Yes: No:
Will a video crew be on site? Yes: No:

Video Company

Phone

Contact Person

Email

F. If Joy has any problems/emergencies on her way to the program, who should she contact? (Please include business, cell, and home number)

Name

Cell Phone

Home Phone

Business Phone

III. Audience Analysis

Attending

M / F Ratio
%/%

Spouses?

Yes: No:

Average Age

Job Titles

B. Toward which group should Joy primarily direct her presentation, and why?

C. What are the names and numbers of four people Joy can contact for customization?

Name
Name
Name
Name

Phone
Phone
Phone
Phone

D. What is the greatest challenge your organization is facing

IV. Background Information

A. What are three things you want people to remember when the presentation is completed?
1.
2.
3.

B. Are there any issues that should be avoided?

C. What three main things should Joy know about your group?
1.
2.
3.

D. Is there any jargon Joy should be familiar with (acronyms, titles)?

E. On which target markets/industries does your organization primarily focus?

F. Who is your typical customer?

G. What is the primary product/service that you sell?

H. Who are your major competitors?

I. Any additional comments or information that would be helpful in tailoring the presentation
for your group?