Questionnaire

Tell Me About You!

In order to tell your story effectively, you need to connect your world to that of your audience. The following questions will help us to figure out how best to do that.

If you prefer to talk with my by phone, send an e-mail to [email protected] to schedule a session by phone.

Fill in at least one of the two items to the right of the statement.

If someone passed me on the street, just by looking at me they would assume ...

...that I am

...and would never see me as

What is unique or special about you?

I am

I am not

If I could spend all of my time doing anything I want

I would

and would never

The reason I became a

is because I like to

And I don't like to

Of all the tasks I do in my job

My favorite is

My least favorite is

I learn new information

Best this way

Least this way

The people I admire

most are

least are

The TV show character I am most similar to is

most similar to is

least similar to is

People in my office see me as

(personality trait)

And not

On the weekends you

will find me here (other than work)

And not here

Tell Me About Your Presentation

Link to Conference Information if applicable

Describe the goal of your presentation - what do you want to accomplish?

Number of Attendees:

Profession of Attendees:

Level: (Sr Management, CEO, AP Staff, etc)

Type of Session

Allotted time for your presentation

Number of presenters - will you be presenting with others or by yourself?

Who are you representing when you present?

What would be the best possible outcome, for your organization, of making your presentation?

What would be the best possible outcome, for yourself, of making your presentation?

Have you spoken to this audience before? If so when and on what topic?

Have you submitted a blurb on this topic? If so, please provide.

Do you have materials that you have put together on this topic or can you provide details that contain the facts that will form the basis of your material.