Tom Sullivan - Client Services for Meeting Planners

Client Services for Event Planning

Event Questionnaire

This questionnaire enables your event coordinator to confirm the timetable of events for Tom Sullivan and provides important information that will be used in preparation for the speaker's presentation.

Event Name:
Speaker Name:		Tom Sullivan
Event Date:
Organization Name:

A. Logistical Information
1. Pre-Event Contact
Name:
Title:
Office phone:
Office fax:
Cell phone:
Email address:

2. On-Site Contact
Name:
Title:
Office phone:
Office fax:
Cell phone:
Email address:

3. On-Site Contact Additional Information
What date/time will contact arrive on site?
What hotel will contact stay at for this event?

4. Event Location Information
Please enter the event location name, address, city, state, and zip code:
Event Room Name::
Telephone:
Fax:
Distance from airport:
Closest airport to event:

5. Hotel Information (If Different From Above)
Please enter the event location name, address, city, state, and zip code:
Telephone:
Fax:
Confirmation number:
Distance from airport:
Distance from event site:

6. Exact Timetable of Events for Speaker (Please be as specific as possible!)
Time	Activity		Room/Location







7. Speaker's Attire:
8. Name & Title of Introducer:

9. Ground Transportation Contact:
Name:
Organization:
Telephone:
Confirmation number(s) for all pickups:

10. Audio Visual Contact:
Name:
Organization:
Telephone:
Email address:

11. Order Books / CDs / DVDs:
Quantity:		Media Type:
Pre-signed?

B. Background Information
12. Audience Demographics:
Audience Description:
Audience Size:
Audience Age:
Are Spouses/Significant Others/Children invited?:
Job description of attendees:
Present morale of the company:
Recent mergers or executive changes:
New products or product line:

13. Please provide a brief description of your organization:
14. Function:
15. Major Objective of This Event
16. Theme for This Event:
17. Other Speakers at This Event:
18. Previous Speakers at This Event:
19. Given the Tom’s background and experience, what thoughts would you like conveyed?
20. Do you need a pre-meeting conference call with Tom?
Best time for conference call:
21. Why did you choose Tom for your meeting:
22. Please list any issues that are pertinent to your organization's industry:
Is there anything further you require at this point?
Date This Form Was Completed:
Name and Title of Person Who Completed This Form:
Telephone:
Email Address: