Pre-Event Questionnaire

Please help Mike develop and customize your upcoming program to meet your organization’s specific goals and objectives. This extra information gives Mike what he needs to tailor the content for your event.

If you have any questions, please contact:

Mike Hourigan: 704-907-5349 or [email protected]
Jennifer DeBerry: [email protected]

With respect to your upcoming program, please answer the following questions. If not applicable, please enter "N/A".

X/Twitter

This field is for validation purposes and should be left unchanged.

Email(Required)

Company/Organization Name(Required)

Contact Name(Required)

First Last

Event Name(Required)

Event Date(Required)

If event is more than one day, enter first day of event.

With respect to this event, what are your organization's goals and objectives?(Required)

Please list specific areas that differentiate your organization from others that are simiilar to or compete with your organization.(Required)

Please identify problem areas and sensitive issues in your organization, especially ones that relate to the event and/or event audience.(Required)

Please list specific opportunities to customize this program for your organization/event.(Required)

Please list up to 3 people for Mike to contact about the organization. Speaking to these individuals helps Mike gain valuable insight for customizing the program. We recommend varying your selections - consider people that may have:

Been involved with the organization for varying legnths of time (new vs more tenured)
Different roles (manager vs entry level employee)
Success rates (newbies vs superstars vs struggling)

Contact #1(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

Contact #2(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

Contact #3(Required)

First Last

Title(Required)

Email(Required)

Phone(Required)

If you need additional information about the conversations with Mike, please note here so that we may contact you.