Pre-Event Questionnaire

- Full Name
  
  First NameLast Name
- Title
- Organisation or Association Name
- E-mail
- Phone Number
  
  Country CodeArea CodePhone
- Postal Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Are you the Event organiser?
- Will you be the on-site Contact?
- If there will be a different contact on-site, please also provide us with their contact details.
- Event on-site Contact Name
  
  First NameLast Name
- Event on-site Contact Mobile
  
  Country CodeArea CodePhone
- Event Speaker Budget
- Is travel included?
- What speakers have your organisation or association found valuable in the past? And, what was it about them?
- How did you hear about Frederique?
- Why did you decide to hire Frederique for your Event?
- Event Name
- Event Start Date
  
  MonthDayYear
- Event End Date
  
  MonthDayYear
- Event Start Time
  
  :HourMinutesAM/PM Option
- Event End Time
  
  :HourMinutesAM/PM Option
- Event Venue Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Into what airport should we schedule Frederique's flight? 
- Hotel Accommodation for Frederique (if different than Event Venue Address) 
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Event Venue Booking Reference/Code
- How far is the hotel from the airport? (in km or miles)
- How should Frederique travel to the hotel? (cab, car rental, driver pick up…)?
- Event Venue Room's Name / #
- Event Website
- If there is not a dedicated event website, please provide the website, from which you are promoting the event.
- Event Hashtag
- Frederique LOVES supporting you and your event, as much as she can, so if you have a dedicated hashtag, she will use it in her social media to help you create additional buzz and excitement!
- Event Type (annual conference, networking meeting, gala award ceremony, sales kick-off, convention...)
- Is the Event organised by a non-profit organisation, or for a charity?
- If so, for which charity?
- Will there be media present at the Event?
- Event Theme
- Why did you choose that theme?
- Event Top 3 Objectives
- If this is a public event, please estimate.
- Audience Size
- Describe your audience: gender (M/F %), employment status, age group...
- Do they know each other?
- Are they comfortable talking with each other?
- How will most of the audience be dressed?
- What challenges do they face?
- Are there any sensitive issues or topic areas you’d like Frederique to avoid?
- What is Frederique’s role in your Event (opening or closing keynote, luncheon speaker, breakout…)?
- Please upload your Event agenda & schedule, so that Frederique can see how her keynote fits in.
  
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- How long would you like Frederique to speak for?
- If other, please specify:
- Frederique's Start Time
  
  :HourMinutesAM/PM Option
- Frederique's End Time
  
  :HourMinutesAM/PM Option
- Who will be introducing Frederique to your group? How should they be addressed? (i.e. First name, Mr Smith…)
- What takes place before / after Frederique's keynote? (another speaker, meal, workshop, break, nothing…)
- Will there be other speakers at the Event? If so, who are they and what topics will they be addressing?
- Would you like Frederique to join your group for any other functions (meals, reception, cocktail party…) before or after her keynote? If yes, please provide details:
- What would you like your attendees to get out of Frederique's keynote?
- By the end of Frederique’s keynote, what do you want your audience to think, feel, or do differently?
- Will you be assisted by an AV Technician?
- Will you have an LCD projector?
- What about microphone(s)?
- If you will be projecting, how many screens will you have?
- Please describe screen placement (left, right, center) in regards to the audience.
- Will Frederique’s keynote be audio, videotaped or photographed?
- Is it possible for a guest of Frederique to attend her keynote?
- Room Layout
- Will there be a stage? If yes, please indicate its size and height.
- What else will you have? White board, Flipcharts, Podium...
- What do you need from us to support your event promotion?
- If other, please specify:
- What additional information might be helpful for Frederique to know in tailoring her keynote to your event and its audience?
- Please upload any additional document you see fit.
  
  Upload a File
  
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- Please upload any additional document you see fit.
  
  Upload a File
  
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- Please upload any additional document you see fit.
  
  Upload a File
  
  Cancelof
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