Corbin Ball Associates Pre-Program Questionnaire
Please fill out this questionnaire, and fax to Corbin at 508-632-7730 or email: corbin@corbinball.com
This questionnaire helps to get more information about your group, so that Corbin can better customize his presentation and direct it specifically for you. Not all questions will be applicable to all groups, so please skip by the ones that you feel do not apply.
Your Name:
Title:
Company:
Phone:
Fax:
Email:
Web site:
Best time for Corbin 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. Exact times of Mr. Ball's presentation?
Starting:___________________Ending: ___________________________
D. When is the best time for Mr. Ball to do his A/V and Room Check?
E. What is Mr. Ball’s role in the program (Opening or Closing Keynote, Luncheon Speaker, etc.)?
F. What is the agenda? Other speakers?
G Is there a meeting advance program? Can a copy be sent to Corbin at 506 14th Street, Bellingham, WA 98225 when it becomes available?
II. LOGISTICAL INFORMATION
A. Where will the meeting be held?
Hotel:
Address:
City/State/Province:
Phone:
Meeting Room:
What is the nearest major airport to the meeting site?___________________
Distance to meeting site? Miles: ________________ Time: ______________
B. For transportation from the airport to the meeting site would you prefer:
___To have Mr. Ball met at the airport? Where? __________________
___To have Mr. Ball take a cab? Approximate cost? ________________
___N/A (Local Meeting)
___Other:__________________________________
C. Will you be using Image Magnification ___ YES __ NO
Will a video crew be on site? YES __ NO __
If so, what is the: Company Name: _______________________________
Contact Person ______________Phone number _____________________
D. If Corbin has any problems/emergencies on his way to the program, who should he contact? (Please include business & cell phone)
Name:
Business Phone:
Cell phone:
E. To be at his best, Corbin typically prefers to have a light dinner or room service and retire early the evening before his presentation. If there is a scheduled function the evening prior, please let us know time, place, and appropriate dress:
III. AUDIENCE ANALYSIS
A. Audience:
1. Number attending?
2. Are spouses invited? YES NO
3. Percentage of males/females ___%/___%
4. Average age of group?
IV. GENERAL BACKGROUND INFORMATION
A. What three MAIN things should Mr. Ball know about your group?
1.
2.
3.
B. Is there any jargon Mr. Ball should be familiar with (acronyms, titles, etc)?
C. On which target markets/industries does your organization primarily focus?
D. Who is your typical customer (e.g.: C.F.O., V.P. of HR, Purchasing Agent)?
E. What is the primary product/service that you sell?
F. Who are your major competitors?
G. What internal sales training program do you use to train your sales force?
H.. Any additional comments or information that would be helpful in tailoring this presentation for your group? (Attach additional pages if needed)