Pre-Program Questionnaire

Thank you for taking the time to fill out this questionnaire. A few moments spent answering these simple questions will help make the presentation go as smoothly as possible.

Contact Name: *

Contact Email: *

Organization Name: *

Contact Phone Number (day of presentation): *

Presentation Date: *

Patrick's Presentation Time(s): *

Length of Speaking Time (please account for time it will take for audience to enter and exit room if applicable): *

Presentation Venue:

Presentation Venue Address: *

Anticipated Audience Size:

Describe Age, Experience, Expectations of your audience:

Goals for this presentation: *

What will occur immediately before and after Patrick's presentation(s)

Past professional speakers this group has heard at similar program:

Event program, agenda, or schedule (limit one attachment):

For the purpose of travel scheduling, Patrick will be able to leave by: *

Closest Airport:

Additional notes, comments, requests, etc:

Testimonials

“Speaker emphasizes value of high school: Students say they can relate to Maurer’s examples, perspectives.”
Ventura County Star