Kindly complete this questionnaire so that Martina can tailor her message to your specific needs. Click on the ‘Submit’ button to send the form to Martina Ononiwu. Please keep in mind that your questionnaire should be sent at least two weeks prior to the program date. Required Fields have an asterisk (*) next to it. All information will be kept private.
​Event Questionnaire
Event:*
Address: *
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Date of Event: * Presentation Title:
Contact Name: *
Phone: * Email: *
How did you hear about Martina? :*
WesiteInternet SearchReferral, Please specify:
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1. AUDIENCE ANALYSIS INFORMATION
A. Number of Attendees?:
B. Average Age Range of Group?:
C. Are there any names/titles of your executives or VIP's attending the meeting that should be acknowledged?:
Yes/No:
2. THE PROGRAM ITSELF
A. Goals and/or learning objectives for this presentation:
B. Are there any issues/topics in particular that should be discussed during the program?
Yes/No:
C. Sensitive issues to avoid (if any):
D. Will the speaker be introduced?
Yes/No:
E. Presentation Start Time *:
F. Presentation Length*:
G.What is your Speaker budget for this event? *:
H.Please include additional comments below: *: