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Matt Townsend, Ph.D.

Pre-Meeting Questionnaire

We would appreciate your time in filling out this questionnaire. All presentations are unique in that they are designed for the specific needs of the target audience. Matt will spend the necessary time to meet the requirements of each group. In order to accomplish this, we encourage you, the meeting planner, to complete as much of this form as possible. Thank you for your assistance and cooperation.

Client Information

Client Name

Contact Person

Fax

Phone

Business Address

City

State/Province

Zip/Postal

Country

How will you be paying for this speech?

Event Logistics

Program Title

Event Start Date

Event End Date

Name of Event Location

Event Phone

Event Address

City

State/Province

Zip/Postal

Country

Travel

Name of Matt's contact once he arrives.

Contact's Phone Number

Emergency Phone Number

Destination Airport

How far is the event location from the destination airport?

Distance in miles.

How will Matt be transported from the airport?

Name of the hotel Matt will be staying at

Hotel Address (if different from event address)

City

State/Province

Zip/Postal

Country

Event Info

Theme of Your Event

Program Title

Purpose of Your Event (Annual Convention, Training, etc.):

Meeting Objectives: What are the three things you want people to say as they leave the event?

Brief description of those who will be attending your event.

Approximate Number of Attendees

Are Spouses Invited?

Yes

Approximate % of Males

Approximate % of Females

Average Age of Audience

Please be sure to send a program agenda to frontofficetrc@gmail.com

Many people like to take something home with them after hearing Matt's presentation. His 6 CD set and 12 DVD set of “Feeding the STARVED Marriage” is available. We offer a discounted rate on materials purchased before the meeting which can be presented to your audience on site. Matt would be happy to sign and personalize his products for your attendees.

Can Matt offer materials for purchase at this meeting? (A table in the back with his books, audios, etc.)

Yes

Date of Speech

Appropriate Attire for Matt

Beginning Time of Presentation

Ending Time of Presentation

What takes place immediately before Matt speaks?

What takes place immediately after Matt speaks?

Please list other speakers and their topics that will be presenting at this same meeting or conference.

Speaker #1

Topic

Speaker #2

Topic

Speaker #3

Topic

Speaker #4

Topic

Speaker #5

Topic

Speaker #6

Topic

Matt's Speech

The Industry

Please give a brief description of your industry/association.

What are the most significant events that have occurred in your industry or organization during the past year? (ie. mergers, cutbacks, relocations, etc.)

Please list three major competitors in your industry.

Competitor #1

Competitor #2

Competitor #3

What differentiates your product/service from that of your competitors?

What are your strengths in comparison to your competitors?

What are your weaknesses in comparison to your competitors?

Your Company

Your Company Mission Statement

What is the primary product/service that you offer?

Please list job responsibilities of those in the audience.

Please list some of the accomplishments the audience has attained in the last 12 months.

Are there any sensitive issues of which Matt should be aware of?

Is there any other information that Matt should be aware of prior to the event?

Matt Townsend, Ph.D.

Pre-Meeting Questionnaire

Client Information

Event Logistics

Travel

Event Info

Brief description of those who will be attending your event.

Please be sure to send a program agenda to frontofficetrc@gmail.com

Please list other speakers and their topics that will be presenting at this same meeting or conference.

Matt's Speech

The Industry

Please list three major competitors in your industry.

Your Company

Thank you for your time and be assured that your efforts will benefit the outcome of Matt's presentation.

Thousands of marriages saved. We can save yours too.

ADDITIONAL

OTHER

Start feeding your marriage today with 10 days of inspiring messages. Straight to your inbox.

Dr. Matt Townsend's Web Site

Matt Townsend, Ph.D.

Pre-Meeting Questionnaire

Client Information

Event Logistics

Travel

Event Info

Brief description of those who will be attending your event.

Please be sure to send a program agenda to frontofficetrc@gmail.com

Please list other speakers and their topics that will be presenting at this same meeting or conference.

Matt's Speech

The Industry

Please list three major competitors in your industry.

Your Company

Thank you for your time and be assured that your efforts will benefit the outcome of Matt's presentation.

Thousands of marriages saved. We can save yours too.

ADDITIONAL

OTHER

Start feeding your marriage today with 10 days of inspiring messages. Straight to your inbox.

Tools to Help

Mend Relationships

Master Communication

Manage Anxiety

Dr. Matt Townsend's Web Site