Engagement Booking Questionnaire

1) Organization Name:

2) Meeting Planner or Primary Contact:

*Name:

*Phone:

*Email:

*Fax:

3) Program Details:

*Date(s):

*Start time:

*Presentation duration:

*Location (City/State):

*Program theme and title:

*Topic Lethia will present:

*Who else is speaking at this event?

*Who have you hired in the past to present to this group?

*Why did you select Lethia for this program?

*Are there other scheduled activities in which you would like Lethia to participate during this event?

Additional topics you would be interested in for future engagements?

4) Venue Details:
You may view Lethia's room setup and AV requirements at http://lethiaowens.com/pbs/avSetup/

*Venue name:

*Venue address:

Meeting room:

*Who will introduce Lethia?

*AV contact name:

*AV contact phone:

Room setup contact name:

Room setup contact phone:

5) Industry and Audience Details:

*List the biggest challenge facing this audience/industry:

*List any important information Lethia should know about this audience:

*Given Lethia’s area of expertise, what key points would you like conveyed to your audience?

*How do you want the attendees to feel after hearing Lethia?

*What are you most proud of as it relates to this audience?

*How will you evaluate the success of the program Lethia conducts?

List any buzzwords or terms specific to this group that Lethia should be aware of:

6) Demographics:

*Size of audience:

*Men %:

*Women %:

*Age range:

*Will spouses be present?

*Profile your organization and who will be attending (i.e. business of organization, titles, of participants, work they do). What is your target market?

7) Lodging and Transportation:
You may view Lethia's lodging recommendations at http://lethiaowens.com/pbs/hotel/

*Hotel name:

*Hotel address:

*Hotel phone number:

*Hotel confirmation #: