Pre-Event Questionnaire Short Form

Thank you! I am excited about speaking for your organization and working with you to make your event a success! Your responses to this questionnaire will assist in fine-tuning this customized program to the exact needs of your group.

Your help will increase the value of this program to you and your team members. Please take a few moments to review this form, answer the questions, and I’ll be in touch to discuss your answers and create your fully customized program!
Thank you for your assistance!

Pre-Event Short Form

If you are human, leave this field blank.

Name of your group/organization *

The title of your conference or event *

Your Name *

First

Last *

Last

Email *

Website

Date(s) and time of event *

Location of event *

What core theme or focus would you like to be presented for this training event?

What are your three most important benefits to your customers?

What core theme or focus would you like to be presented for this training event?

When participants leave the training, what three concepts/skills/ideas would you like to take with them?

What other information might be helpful to know?

If you have any questions about this form please call Dr. Tim Crowley at 888-727-4573.

Thank you again for taking time to fill out this information. Your valuable input will help to ensure the success of this event.