Pre-Event Questionairre

Please complete this questionnaire and return it with the speaking agreement. This will ensure we not only have a successful event, but also clarify the way in which the presentation can exceed expectations. You may also download a Word document or a PDF to return with the speaking agreement. Call (888) 445-4045 or (310) 645-1725 if you have any questions.

General Information
Organization:
Organization Purpose/Theme:
Event Date:
Month: Day: Year:
Time:
Beginning: AM / PM
Ending: AM / PM
Event Theme:
Event Location:
Event Location Phone:
Event Location Fax:
Event room:
Distance from airport:
Distance from hotel:
Is the event
 private or open to the public?
   
What are your specific objectives for this event?

A.

B.

C.

   
How did you hear about Kevin McMahon& “That’s The Ticket”?

   
What other family/parenting programs will you be having in the future?

   
What national speakers have you previously used at similar events?

Name:

Title:

Name:

Title:
   

What three key points of information do you want Kevin to address for this particular gathering?

1.

2.

3.

   
Are there any controversial issues that should be avoided?

   
What takes place immediately before & after Kevin speaks? (For example: another speaker*, a meal, a break, etc?)

*If there’s another speaker, indicate topic:

Speaker Before Kevin:

Speaker After Kevin:
   

Name & Title of person introducing Kevin:

Name:

Title:
   
Any people to publicly acknowledge during presentation?

Name:

Title:

Reason:

Name:

Title:

Reason:

Name:

Title:

Reason:
   
Please send me the following information, if available (check items you’ll be sending):

Any Brochures Used by Organization
Promotional Material / Flyers For Event
Any agenda For The Event

 

Audience Information
Number of expected attendees?
Percentage male/female?
Average age?
Ethnic make-up?
 

Beyond parents or trainers, who will be attending this event?

   
What are the names and titles of top staff members who will be at the meeting?

Name:

Title:

Name:

Title:

Name:

Title:
   
Generally, what is the greatest challenge attendees are currently facing?

   
What are the most significant events that have occurred with your group during the past year?

   
What other information might be helpful for Kevin to know before addressing group?

 
Are you planning to audio and/or video tape the presentation?

Yes / No

What will the tapes be used for?

Please remember, you must received written permission from us to do so. Are you requesting permission now or have you already done so? Yes / No

 

A/V & Room Requirements
Kevin requires:

  • An LCD projector
  • A Screen
  • A lavaliere microphone
  • 2 extension cords
  • 2 tables at the front of the room, one for the projector, another for notes
  • Ballpoint pens and a Sharpie marker for each attendee
  • WORKSHOP—Audience members seated at desks / tables. SPOUSES SEATED TOGETHER.

I have read the requirements and will ensure that the appropriate arrangements are made prior to Kevin's arrival to the site.

 

Additional Information

Contact person at the event?
Phone:
 
If there is an emergency during traveling, who should be contacted?
Name:
Phone:
Emergency Back-up :
   
Person picking up and returning Kevin to airport (if required):
Company:
Name:
Phone:
Cell:
 

Will driver meet Kevin at the Baggage Claim? Or Curbside?

Driver needs to have a sign that says “Ticket Game”.

 
For Our Files
Your email address:
Your website address: