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Pre-Program Survey

This survey will START the process of getting to know YOU. Shall we break into a song?

If you have booked me for your event you will need to fill out this survey. The more complete the information you provide, the better. Please fill out the survey below, answer those questions that pertain to your particular session.

As an option, we have provided the questionnaire as a Word document for download. Please download the file, fill out the survey, answer those questions that pertain to your particular session, and return it to eileen@eileenmcdargh.com no later than three weeks prior to the engagement.

Thank you so very much!

Download Questionnaire

Online Pre-Program Survey

Please allow yourself some time to answer these questions before beginning.

* Required

Your Information

First Name *

Last Name *

Company *

Email Address *

Work Phone Number *

Cell Phone Number *

Website

Program Details

If you could describe the mission of your organization, what would it be?

What is your organization's major strength? What makes your organization unique? If applicable, what is your organization's competitive edge?

If applicable, who are your major competitors? Who are the industry leaders?

What are the most significant events to have occurred in your industry group, or organization during the past year? (mergers, relocations, cutbacks, new product or service, legislation, etc. )

Presentation: What are your specific objectives for my session? In other words, what three things would you like the audience to walk away with?

Are there any issues/topics that you think I should discuss during my program? Are there any key issues, subjects, words, phrases or concepts that people feel negatively about and should be avoided?

Language: Please list some in-house or market-specific jargon, phrases, acronyms or other words that might be appropriate for incorporation.

Is there a theme or slogan you want "Planted" as a seed for the group?

Program Mix: What percentage is motivation?

Program Mix: What percentage is content?

What do you hope they will be motivated to do?

Specifically, what are the key content points that you want them to learn?

How many people will be in the audience?

Can you be more specific as to the % breakdown of the audience (males/females, rank within the profession or company, level of sophistication, average age, ranges of age etc.)

Are there any language or literacy barriers? If so, what percentage?

Will attendees be co-workers, leader/follower, or a mixture? Are they acquainted with each other? Any potential problems, competitive factors, peer pressure, or other dynamics that I should know about?

Would you describe the group as:
fun-loving
willing to participate
serious
open and cooperative
self conscious
demanding
high ego

For fun: Is there a “personality” in the group? Either a role model, or someone that is known for having a congenial type of manner? Any “in joke”?

For recognition: What is happening right? Any individuals or departments, work groups, etc. which might be cited for credit, etc. within the context of this presentation.

Can you supply me with a “day-in-the-life-of” example of who best represents this audience? Or, can you give me the names and phone numbers of other people whom I might contact?

What did they like about speakers they’ve heard in the past? What did they not like? Why did you select me?

How will this program be advertised and participants recruited? Voluntary or mandatory attendance?

Any “hot” books in the industry?

Final thought — what did I not ask that you think I should know?

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Meet Eileen the Author!

Gifts from the Mountain

by Eileen McDargh
Gifts from the Mountain: Simple Truths for Life’s Complexities is a Ben Franklin Gold Award winner.

Learn More

"Eileen, it was our pleasure to have you in NH!! I loved your remarks, it was one of the highlights of the conference. NO RED ANTS, #6, and REFRAME!! YES!!"
- Town of Salem Fire Department

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