4 Ring
Neck Court, Wading River, NY 11792 1-800-395-3905 or 631-929-5555
· Fax 631-929-1865 www.darryldavisseminars.com
Please complete this questionnaire
and return it with the program agreement. This will ensure
us of not only a successful event, but also will enable
us to target your concerns and reasoning for putting together
this program. My main objective is to get your message
across, and to leave you more than satisfied with Darryl
Davis Seminars.
Company Name:
Date: Month-
Day-
Year
Begin Time:
Ending Time:
1. How did you hear about
Darryl Davis?
2. What is the theme of
your event?
3. How many people do
you have in your organization?
Salespeople:
Broker/Managers
4. What are the number
of attendees that expected to attend this event?:
5. What is the mission/philosophy
of your organization?:
6. What other programs
will you be having in the future?:
7. What is the specific
purpose and theme of this meeting (annual meeting, awards,
etc.)?:
8. What new trends or
changes are happening in your market now?
9. What are some current
problems/challenges experienced by your organization?
10. What are the current
problems/challenges faced by people who will be in the
audience?
11. What organizational
jargon or terminology do you want interjected during the
presentation?
12. Are there any controversial
issues that should be avoided?
13. Previous national
speakers used at your last event?
Name:
Topic:
Name:
Topic:
14. Name, title & telephone
number of a senior executive, top manager/broker or top
agent I can contact to get additional information about
the market.
Name:
Title:
Phone#:
Name:
Title:
Phone#:
Name:
Title:
Phone#:
Name:
Title:
Phone#:
15. What takes place immediately
before & after Darryl's program? (Is there a speaker,
meal, break, etc? If there is another speaker, indicate
topic).
Before:
After:
16. Name & Title of person
introducing Darryl.
Name:
Title:
17. Top People to recognize
in office.
Name:
Title:
Reason:
Name:
Title:
Reason:
Name:
Title:
Reason:
18. Please send me the
following information, if available (Please check those
items you will be sending).
Any Brochures Used by
Organizational
Promotional Material For
Agenda For The Event
List of Others Who Will Be Speaking Before Darryl
19. What three points
of information do you want Darryl to address for this
particular meeting?
20. What other information
might be helpful for Darryl to know?
