Completed People reach, restore and release people into their purpose and passion.
Creative Consultation through graphic recording

Pre Program Questionnaire

Complete this questionnaire as fully as you can in order to assist me in preparing for your event with excellence and clarity.

What type of meeting do you have in mind?  *
Group or Organization
Contact Person*  
City, State Zip
Phone*       Emergency Phone*      
Program Date*  
Meeting Time*



Speaking time



number attending
Average age:

Male          Female:   

What kind of meeting or conference is this?
What is the main purpose of this event?

Is there a conference theme? If yes, what?

Please give the background of the organization:

Please list the current breakthroughs and/or challenges within the organization:

Discuss any "inside language" or jargon that might be incorporated into the presentation:

How do you want the audience to feel, or what do you want them to remember after the presentation?

How will the room be set up?
(Theatre style, round tables, etc)
Is there a specific dress code?
Business? Casual? Other?
Who will make the introduction?
Phone number of person who will do the introduction if other than contact person:
Directions to meeting location and room, including meeting address and emergency phone number:

Thank You!  I look forward to being with your group!



For speaking engagements outside of the local area,
please call 303-460-0605 for further information.