Fill out only those areas that apply to your organization. We want to make it easy. If you spoke with a member of The Emmerich Group about certain items via the phone, feel free to skip repeated questions. Step 1 of 5 20% AudienceNumber in attendanceWhat are the job titles and responsibilities of attendees?What is the personality of the group? (Serious, fun loving, etc.)Percent malePercent female The ProgramIf there is a meeting theme, what is it?What three objectives would you like your people to meet as a result of this session?How would you like your people to think differently?Since feelings have a great impact on changes of behavior, how would you like your people to feel differently?What do you want your people to DO differently?Are there any sensitive issues to avoid?How will the program be promoted?What other speakers / trainers / consultants have you worked with in the past? What have you liked / disliked about their programs?How will you measure the success of Roxanne’s presentation? Program ScheduleWhat time will Roxanne’s presentation start? Hours : Minutes AM PM AM/PM What time will Roxanne’s presentation end? Hours : Minutes AM PM AM/PM Break scheduled? Who are the other speakers on the program?What takes place immediately before / after Roxanne’s program? Program SiteSite name and addressInto what airport should Roxanne book her flight?How far is the site from the airport?How should Roxanne travel from the airport? (Client pickup, car service, etc.)Would you like Roxanne to notify someone when she arrives at the hotel? Yes No Please provide the contact’s name Please provide the contact’s phoneAre there any pre-meeting engagements you would like Roxanne to attend? (e.g. breakfast or lunch?)How will the audience be dressed? Business Business casual Casual Cocktail Not to worry: Roxanne has never been late or missed a program in the 12 years she has been doing this. We do, however, like to keep you posted of any challenges of travel. If she has any problems / emergencies on the way to the program, whom should she contact? Name Phone TapingDo you want to tape the program? Audio Video For what use would you do the taping? Δ