Scott Carbonara Speaker Pre-Event Questionnaire

Thank you for booking Scott Carbonara for your event. Please provide us with some information so that we may customize this session to meet and exceed your expectations. (Provide your best estimates.) If you have any questions, please contact Jocelyn Carbonara at Jocelyn@LeadtoEngage.com or (919)309-7775. After we receive your completed questionnaire, we will set up a time to talk to Scott by phone to finalize speaking topic and goals (optional).

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* 1. Organization Information

Name of Organization/Event:

Date of Event:

Location of Event:

Time of Scott's Session(s):

Contact Person:

Email/Phone/Cell phone for contact at event:

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* 2. Demographics of Group:

Approximate number of participants:

Approximate percentage of females/males:

Average educational background (level of education and typical field of study):

Typical industry/professional position(s) of attendees:

Average age or age range:

Are there any trending issues members of this group are facing that they could use guidance in overcoming?

Are there other factors that would help Scott in preparing for the session?

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* 3. Expectations:

What do audience members expect/want/need from this session?

What kinds of topics, presentations, or speakers has this audience enjoyed in the past (feel free to use specific examples)?

What is the dress code for this event?

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* 4. Objectives:

What objectives do the leaders and coordinators have to make this the BEST session?

What topic would you like Scott to cover in this session (please look at Scott’s current topics at http://www.LeadtoEngage.com/ topics/ and let us know if any of these are a best fit, or if you have a related topic in mind)?

If the participants walked away remembering and/or feeling 3 things, what would those be?

Are there any topics or issues that Scott should avoid mentioning or discussing?

Are there any other concerns or questions?

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* 5. Session Flow:

What comes immediately before this session?

What immediately follows this session?

What other speakers/sessions will be utilized at the event (fill in if known)?

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* 6. Program Success:

How will you measure the success of this session? Of the entire conference?

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* 7. Would you like Scott to bring books to offer for sale along with free materials to give away at a table after he speaks? (He never sells from the stage. You may also discuss prepurchasing books for your members if desired.)

Yes

Not sure

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* 8. Other:

Scott also likes to have a short (15 minutes or so) conversation with the event organizer prior to attending, in order to be sure that he optimizes his speech for each group. If this is acceptable, please list 2-3 days and times that you would be available, and we will contact you to confirm: