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Pre-Event Questionnaire

This form is extremely comprehensive. Please skip any questions that do not apply to you.

Organization | Company Name*
Your Name*
Email*
Enter Email Confirm Email
Date of Event
MM slash DD slash YYYY
What time do your guests arrive

:

AM/PM
Tim's Approximate Start Time

:

AM/PM
Tim's Approximate Program Length

30-75 minutes is normal range
Rough agenda (particularly surrounding Tim's Presentation)
If there is a meal, is it plated or buffet?
- Plated
- Buffet
- No Meal
If there is a social hour, will either the social or dinner be held in the same room in which Tim will be presenting?
- Same room as social hour
- Same room as dinner
- Seperate room
Expected Number of Attendees
Describe Attire of your guests for the event
Theme/Purpose of Event
Who will the audience consist of? Which department, facilities, regions, states and countries will be represented?
List any key individuals and their titles, whether not they will be present (CEO, CFO, COO, President, etc.)
Have there been any recent achievements or awards for your organization? Points of pride?
What basic products and/or services does your organization provide and what daily activities are performed at work?
What problems currently exist with the attendees? What makes their jobs difficult?
Words / Phrases / Ideas to avoid (who or what do you not want to be associated with?)
Will Tim be allowed to sell his book after his presentation?
- Yes
- No
If you have an educational or gift budget, would you like to explore the option of gifting any of Tim's books to the attendees?
- Yes
- No
How did you hear about Tim Gabrielson?
Travel Information (if applicable)
Nearest Airport to location
Hotel Name
Hotel Address (GPS Friendly)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Hotel Phone
Confirmation # or Name that room is under
Additional comments or questions
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Tim Gabrielson - The Magic of Positive Change

Speaker. Author. Entertainer.