When you complete this questionnaire you enable Dr. Freiberg to learn more about your business. Then she can address the special needs of your audience and deliver a powerful presentation. By taking a few moments to thoroughly answer all the questions, you contribute to a presentation suited to your group. Thank you for investing in the success of this program!

There are three ways you can fill out this questionnaire:

	Fill out this online form, and you’re finished!
	Download this Pre-Program Questionnaire
	pdf, 60K
	Complete the Pre-Program Questionnaire, and fax it to Dr. Jackie Freiberg at (619) 624.9695 at least 8 weeks before your event.
	Download this Pre-Program Questionnaire
	pdf, 60K
	Complete the Pre-Program Questionnaire, and mail it to us at the following address at least 8 weeks before your event:
		Dr. Jackie Freiberg Freibergs.com 4110 Palisades Road San Diego, CA 92116-2043