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Motivational Speaker
Tip of the Week:

Motivational Speaking
Consultation

To help David customize his presentation for your group,
please fill out as much of this Speaking Consultation form as possible.

Best time for David Newman to reach you (Mon - Fri)
From		To


Specific purpose of this meeting (strategy summit, sales meeeting, company retreat, celebration, annual conference, etc.)


What is the program theme?


Specific objectives you desire from David's presentation?


Who is responsible for calling the meeting?
Name
Title

What is the name and title of David's introducer?
Name
Title
Time frames for David's presentation?
Start
End

What is on the program just before David speaks?


What is on the program just after David speaks?

Appropriate Dress Code for the meeting?
	Tuxedo
	Suit and Tie
	Slacks & sport shirt (Business Casual)
	Client provided "Theme shirt"

Who are the other speakers on the program?
Name
Topic

Name
Topic

Name
Topic

What did you like and/or dislike about previous presentations given at meetings such as this for your group?
Liked
Disliked
What would make David's presentation really special for your group?


Will David's presentation be taped?
	Yes No

If so, name the recording company, and provide their contact information.
Company
Phone
Contact

To reinforce the impact of David's ideas after his presentation, would you like information about how he can make his learning materials available?
	Yes No


Number expected?
Male/Female ratio?
Age range?
Will Spouses be attending?	Yes No
Educational background
Income range

Major job responsibilities of the audience
Problems/challenges?

Breakthroughs/milestones?

What separates your high performance people from others?

Mission of your organization

Vision of your organization


Name of hotel/conference site
Street Address
City
State
Country
Nearest Airport
How will David be transported from the airport to the meeting site?
	Will be picked up by:

Phone number of person above

	Taxi (approximate fare):


Whom should David contact in case of emergency?
Name
Phone (Day)
Phone (Evening)


How did you find out about David?
	Heard David speak
	Read an article by or about David
	Personal contact with David or his team
	Referral
	National Speakers Association
	Google Search
	Other
	Describe