Pre-Event Questionnaire Long Form

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

Please take a few moments to review this form and answer the questions. Feel free to skip over any questions that might be irrelevant to your event. I’ll be in touch to discuss your responses and create your fully customized program!

Thank you for your assistance!

Pre-Event Long 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 will take place right before Dr. Tim’s presentation?

What will take place after Dr. Tim’s presentation?

What is the purpose or mission of your organization?

What are your three most important benefits to your customers?

What new trends or changes are happening in your industry now?

What is your organization most proud of?

What are the greatest challenges your organization or group is currently facing?

Are there any sensitive issues or topics that should be avoided?

Is there any industry terminology Dr. Tim should be familiar with or recognize?

What areas or regions does your organization or group serve?

When participants leave this event, 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.