Briefing Questionnaire

PRELIMINARY BRIEFING QUESTIONNAIRE

SEMINAR QUESTIONS

The Center, Inc.
P.O. Box 700
Edmonds, WA 98020

Phone
1-425-771-5166
1-888-771-5166
1-425-670-2807 Fax

E-mail

If you have questions in regards to Seminar Bookings, then the following form will be very helpful to you and us. We understand that some things are easy to handle through questions on the phone and others through a simple document. We don't want to take up your valuable time with basic logistics questions and so have created the following questionnaire.

The answers to this questionnaire will help Dr. Jantz adapt his presentation to meet the needs of your organization. This questionnaire can be used prior to booking a seminar or after you have already scheduled a seminar.

Briefing Questionnaire

Your Contact Information
Name: (Required)
Organization:
Address:
City:
State:
Zip:
Phone number:
Fax number:
E-Mail Address: (Required)

Your Event
Date(s) of conference:
Function name:
Function theme:
Function purpose (eg. Awards Dinner, Conference):
Most important objective of your function:
Presentation room / area:
Presentation Time:	Start: Finish:
If presentation is during a meal, please confirm exactly which stage it is to be made (eg. Between entrée & main; before breakfast; pre-drinks):
What is happening before Dr. Jantz's presentation:
What is happening after Dr. Jantz's presentation:
Dress code for function (black tie?):

The Delegates
How many attendees are you expecting:
Average age:
% of males / females:
General description of audience (sales, retail, management, admin):
Three things you feel are most important for Dr. Jantz to know about this group:
Who are the senior people / VIP's attending:
Any other Information or Questions you may have
It would really help things along if you could possibly provide some or all of the following: Agenda for entire event Directions or map to venue Any programs/printed material relating to the event Check Box Prior To Submitting