Kevin’s Event Materials
Bio
Introduction
Pre-Program Questionnaire
Publicity Photographs
Room and A/V Needs
Jackie’s Event Materials
Kevin & Jackie’s Event Materials

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Pre-Program Questionnaire

Help Kevin Freiberg hit a home run at your meeting by completing the following form.

Date of Event:
Name of Organization or Meeting:
How did you hear about Kevin?
Why did you choose him for this event?

Note: If the audience members are not a part of your organization, please answer the following questions from the viewpoint of the audience.

Purpose Of The Program
1. What type of meeting is it?
Annual Meeting
Quarterly Meeting
Award/recognition Event
Other:
What is your specific objective for the overall meeting?
What is the theme of your conference or meeting?
2. What is Kevin’s role at the meeting?
Opening Keynote
Closing Keynote
Luncheon Speaker
Other:

 
3. What are your specific objectives for Kevin’s session? What would you like the audience to walk away with?
A.
B.
C.

 
About Your Industry & Organization
4. What major products and/or services does your organization provide?

 
5. What clients or customers do you serve?

 
6. Who are your major competitors or threats?

 
7. What major changes or challenges face your industry and organization?

 
8. What successes or breakthroughs has your organization had recently?

 
About Your Audience
9. How many people will be attending Kevin’s presentation?

 
10. What is the percentage of men & women in the audience?
Men Women

 
11. What are the major responsibilities of audience members?

 
12. Who are the other professional speakers, industry experts, or company executives on the program?
Name Topic
Name Topic
Name Topic

13. Please identify three movers and shakers in your organization — people who know the objectives for your meeting and who will be in the audience. With your permission, Kevin would like to send them three to five questions for research and customizing information.
Name
Organization
E-mail address
Name
Organization
E-mail address
Name
Organization
E-mail address

Logistics & Schedule
14. What takes place immediately before Kevin’s program?

 
15. Starting time:
Entire program

 

 Kevin’s presentation

 
16. Ending time:
Entire program

 

 Kevin’s presentation

 
17. What takes place immediately after Kevin’s program?

Please provide an agenda for the day Kevin speaks and an agenda for the overall program.

18. Person introducing Kevin?
Phone Fax

19. How will the meeting room be set up?

 
20. Person responsible for room set up?

Phone

 
21.

Will an AV technician be on-site?
If so, please provide:
Company Name
Contact Person
Phone Fax
E-mail address

22. When will the meeting room & AV tech be available for Kevin’s AV check?
Date

Time

Recording -- Taping
Audio or video recording of the presentation in part or whole for anything other than archival use is not a part of our agreement. Should such a program reproduction and usage be desired, we will be pleased to provide a separate quotation.

If you are audio or video recording for archival purposes please provide us with a digital master copy of the tape within 14 days after your event.
23. Will the program be:
Purpose:
If taped, by whom?
Phone Fax
E-mail address

Taking the message home!
Kevin requests a banquet table just outside the meeting room where he can offer learning resources, products, and a free handout. Attendees love taking an experience of the message home with them.

Kevin DOES NOT sell anything from the podium (we hate that stuff).
24. Person responsible for room set up
Phone
 
Travel Information
25. Where will the event be held?
Location
Address
City
State Zip
Phone Fax
Meeting Room

 
26. Nearest major airport to arrive at?
Distance to the meeting site
in terms of miles?

 

 time?

 
27. Where have you reserved a room for Kevin?
(non-smoking room/king-size bed)
Hotel
Address
City
State Zip
Phone Fax
Reservation confirmation number

28. For transportation between the airport and meeting site, Kevin requires a sedan and driver. Please make these arrangements and send us:
Name of Company
Contact Information (800#)
Where will Kevin be met?
Pickup location for return to airport
Time of pickup
Confirmation number:
Inbound trip
Oubound trip

29. In case of an emergency, who should Kevin contact?
Business Phone:
 Home Phone:
Cellular Phone:
 Pager:

This form completed by:
Name:
Title:
Company:
Address:
City, State, Zip:
Telephone:
Fax:
E-mail:
Web Site:
When you have finished filling out this form, press this button to send it to us!