PreProgram Assessment

This questionnaire is for meeting planners who have already booked Doug as their speaker. Please answer the questions below to the best of your ability. 

The information Doug gleans from your answers is essential to tailoring his program to meet you and your organization's needs. 

If you have any questions, please feel free to contact Doug, and he will personally walk you through the questionnaire, or gather the information via a conference call.

Most of the questions below are optional, but please remember that the more information you provide, the better Doug will be able to tailor his program to meet your specific needs.

Please also provide any or all of the following:

  • A printed event agenda, brochure, program announcement or other event related literature.
  • An organizational chart of your company.
  • Copies of recent newsletters or bulletins.


PreProgram Assessment Form


Name of Meeting Planner:
Email Address:
Company Name:
Zip Code:
Website URL:
Meeting Date:
What is the exact title of your meeting?
What is the specific theme of your meeting?
Briefly describe what the organization does. It's products, services, reputation etc?
Where will Doug Be staying?
When is Doug scheduled to speak?
(both his start and stop time)
Who will be introducing Doug?
Where is the event's scheduled location?
Where is Doug's program positioned?
What will happen just before, and right after Doug speaks?
What is the most important objective or outcome you hope comes of Doug's program?
What are the most important challenges facing the company or organization?
Has there been any significant events or changes in your organization in the last few months? (Please describe those changes including the positive and negative aspects.)
Please list any recent accomplishments, recognized individuals or outstanding performances in your organization.
Who is your primary competitor or situation or circumstance that stands in the way of success?
What are some of the most important things Doug should know about the people who will be attending the session?
Additional Comments / Questions

All responses will be kept confidential.

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