Meeting Planner Questionnaire

Please fill out this form so that we may assist you in selecting and providing an appropriate speaker or entertainer to fit your program and budget requirements.

Organization
Address
 
City   State   Zip
Contact Name
Name of person who has final say:
(Pres./Committee Chair)
Phone   Fax
Cell Phone
Your email address
Website
   
Event location
 
City   State   Zip
   
Name of Meeting
   
Engagement date
Alternate Dates
Start time
Length of presentation
   
Number of programs
Number of speakers
Number of participants
   
Budget range (honorarium/fee) to
   

Dignitary, Famous Person, Intellectual, Luminary, Notable, Personage, Philosopher, Prophet, Sage, Star, and Teacher

Actor Ambassador
Architect Artist
Astronaut Attorney
Author Broadcast Media
Business Leader Character Portrayals
Comedian Composer
Dancer Doctor
Economist Editor & Publisher
Emcee Entertainer
Entertainment Financial
Futurist Governor
Health Headline - News
Host Humorist
Inspirational Insurance
International Affairs International Statesmen
Inventor Journalist
Judge Keynote
Leaders Look-A-Like
Marketing Master of Ceremonies (M/C)
Mayor Member of Parliament
Military Leader Motivational
Movie National Issues
News Officers
Photographer Physician
Political Leader Prime Minister
Professional Professor
Radio Sales
Scientist Sports
Talent Technology
Television Personality Theater
Vocalist  
Other:

What is the Purpose or Objectives of the Upcoming Event

Appearance Association Gathering
Autograph Award Presentations
Banquet Board Meeting
Breakout Session Cabaret Theme
Celebration Ceremony
Classroom Conference
Contest Convention
Dinner Program Draw in New Members
Educational Session Entertainment
Event Exposition
Fair Fund Raiser
Graduation Ceremony Group Consulting Session
Honors Program Hosting Concert
Influential Interactive Program
Keynote Lecture
Luncheon Program Mall
Meeting Motivational
Networking New Product Introduction
Occasion Panel
Political Praise Membership
Product Endorsement Promotion
Reception Retreat
Reunion Roast
Sales Rally Seminar
Shopping Mall Draw Special Event
Sports Spousal Program
Theatrical Trade Show
Training Workshop
Wrap Party  
Other:

What is your goal in selecting a category?

Example: Our goal is to choose categories for developing skills inherent to becoming successful.

Communication Computer
Conflict Management Critical Thinking
Delegation Interpersonal
Listening Management
Memory Negotiation
Organizational Planning
Presentation Persuasion
Reading Sales
Speaking Supervisory
Telephone  
Other:

Is Ethnicity a Factor in Your Event?

Asian/Pacific Islander African-Americans
Arabic Armenian
British Bulgarian
Chinese Czechoslovakian
Danish Dutch
Estonian Ethiopian
Finnish French
German Greek
Hindu Hungarian
Icelandic Indian
Irish Italian
Japanese Jewish
Korean Latvian
Lithuanian Manx
Norwegian Polish
Portuguese Russian
Scottish Spanish
Swedish Swiss
Thai Turkish
Ukrainian Vietnamese
Welsh Yugoslavian
Other:

Speakers with Disabilities

Visually Impaired Healing Impaired
Amputee Cerebral Palsy
Wheelchair user Walking Impairment
Little people Developmentally disabled

Who makes the final decision on the upcoming program?

Administrator CEO
Committee Member Finance Director
Human Resource Director Manager
Marketing Director Meeting Planner
Owner Program Director
Public Relations Director Sales Director
Special Events Coordinator  
Other:

Do you have a budget for the following categories?

Audio cassette tapes Books
Entertainers Hand outs
Historian/Video, Audio Hotel
Meals Sound system
Speakers Transportation (ground/air)
Video tapes  
Other:

What are your needs and the needs of the Speaker or Entertainer?

Agenda: Outline of your upcoming program
Autographing: Will attendees request autographs of your guest
Audio requirements Biography of your company (other)
Camera ready flyer Cassette Demo
Contact person prior to meeting
Contract (Agreement) Distance from the airport
Exit directions Fee Schedule
Food / Beverage - (special diet requirements/schedule)
Hand Outs Host
Hotel  
Introduction Sheet (Name & title of introducer)
Liaison List of key personal
List of other speakers/entertainers on the program
Marketing Kit Map
Media Requirements Media Sheet
Objective of meeting  
Permission & Arrangements for Back-of-Room Sales
Permission for audio Permission for video tapping
Photo opportunity Press Kit
Profile of your organization Program
Reprints of News releases Schedule/Time in front of Group
Size of Group Theme for meeting
Time keeper  
Time Zone: Eastern, Mountain, Pacific, etc..
Title of speaker's talk  
Travel Policy/Land, Air: Arrangements requirements: arrival & departure
Video  
Other:

What are some of the Meeting Planner's Requirements?

Agreement (contract(s)) Article Reprints
Audio cassette demo Audio/Visual needs
Bio sheet Camera ready flyer
Fee Schedule Food/Beverage
Hand Outs Hotel
Introductory Sheet Marketing Kit
Media Kit Name of speakers program(s)
Permission & Arrangements for Back-of-Room Sales
Permission from speaker or entertainer to audio tape program
Permission from speaker or entertainer to video tape program
Photo opportunity Press Kit
Title of speaker(s) program(s)
Travel Policy/Land & Air Video tape demo
Other:

What support materials are expected from the meeting planner?

Audio/visual equipment Banners
Blackboard/chalk Blank tapes
Chair Clock
Computer: hardware Computer: software
Dance floor Decorations
Drapes, background Easels
Flipchart/markers Grease board/markers
Head table High chair
Interpretation Laser pointer
Lavaliere (clip on) wireless microphone
LCD Projector/Screen Lighting
Lighting/Spots Markers
Microphone Music/Sound
Overhead Projector/Screen Platform
Podium Podium Mike
Power Projector
Raised platform Remote Mouse
Screen Slide projector 35mm
Slide Projector/Screen Stand
Speaker audio system Speaker phone
Stage Stand
Stool Table
Video / Monitor Video player VCR
Video projector  
Other:

What are your organization's policy regarding Back of the Room Sales?

Permission for Back of the Room Sales:   Yes  No
Audio's Books
CDs Consulting
Educational Videos Manuals
Newsletters Software Programs
Seminars Training Materials
T Shirts/Hats Videos
Other:

Questions / Comments / Purpose of the event/s:

Enter the text from the image below:
 

World Class Speakers & Entertainers - Speakers Bureau
5200 Kanan Road, Suite 210, Agoura Hills, (County of Los Angeles), CA 91301
(p) 818-991-5400 (f) (e) Contact Form