Tom McCarthy & Associates, Leadership & Presentation & Peak Performance Resources
 

Book Tom McCarthy

Find out how Tom Can Make Your Next Meeting or Convention a Success!

This pre-program questionnaire will enable Tom to fine-tune his presentation to the exact needs of your group. Feel free to skip over any answers that would merely duplicate answers to previous questions or that might be irrelevant due to the nature of your program. Your help will increase the value of this program to your audience!

Please fill out this form and a representative from our office will contact you shortly about your event and send you Tom's speaker packet.

If you feel your project needs urgent attention, please call Tom McCarthy Enterprises, Inc. at (858) 759-8484.

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Pre-Program Questionnaire
*First Name:
*Last Name:
*Email:
*Phone:
Title:
Fax:
Company:
Website:
Best time to contact you:

Your Program
What is the meeting theme?:
What is the specific purpose of this meeting?:
What type of meeting is it? (annual meeting, awards ceremony, sales kick-off, etc.):
Who (if anyone) is on the program just before Tom and what is their presentation topic?:
Who (if anyone) is on the program just before Tom and what is their presentation topic?:
Which company executives and/or industry experts will be speaking at this meeting?:

The Presentation
What is Tom's role in your program? (opening or closing, keynote, breakout, etc.):

What are the exact times for Tom's presentation?:

Please send us a copy of the meeting program and agenda so he can see how his program fits in.
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How will most of the audience be dressed?:
How will the executives be dressed?:
How should Tom be dressed? (suit and tie; sport coat and open collar shirt; slacks and shirt; other):
Who will be introducing Tom to your group?:
What is most important to you concerning the content of Tom's program? (i.e. use of examples, exercises, handouts, etc.):
What is most important to you in the working relationship with Tom?:
What themes/threads (other than the primary topic of Tom's program) would you like to see woven into the program?:
When your people leave the program, what three concepts/skills/ideas would you like them to have?:


The Audience
Number in the audience:

Are spouses invited?:
Male/Female Percentage:

Male:

Female:
Average age of attendees?:

Background
What separates your high-achievers from the others?:
What are some of the challenges your organization and your people/members face on a day-to-day basis?:
What areas of challenge pose the greatest opportunity for improvement?:
What are the most significant events that have occurred, and that have affected, your industry, organization, or group during the past year? (i.e. mergers, downsizing, etc.):
What is the primary product or service that you offer?:
What are the two most important benefits you offer to your customers?:
What are two or three achievements of which your organization is most proud?:

Name five key people in your group who will be at the program. With your permission, Tom may want to contact them to discover more information about your group:

Name / Telephone

1.
   

2.
   

3.
   

4.
   

5.
   


Learning Tools

Most audiences want something to help them continue learning after the presentation. What do you prefer?:

Visit our online store for a list of all of Tom McCarthy's products.
How do you wish to handle these?:

Purchase at quantity discount to distribute to participants at the event.

Offer learning materials to participants for purchase at the event.

Let participants order the materials from Thomas McCarthy & Associates after the presentation.

Logistical Information
Hotel Name:
Hotel Address:
Hotel Phone:
Hotel Fax:
Hotel Confirmation Number:
Name of meeting room:
Into what airport should we schedule Tom's flight?:
How far is the hotel from the airport?:
Would you like Tom to notify someone after he arrives at the hotel? If so, whom shall he contact?:

Name / Phone
Contact at meeting site:

Name / Title / Phone
Are there any pre-meeting engagements (i.e. breakfast or lunch)? If so, where and when are they scheduled:
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