|
|
|
Tap Code “By tapping covertly on our cell walls using an alphabet code we maintained our unity. We encouraged and cared for each other. We passed information, learned poetry, even learned new languages. I got to know my fellow prisoners like brothers, though I’d never even seen them.”
|
Captain Gerald Coffee MEETING QUESTIONNAIRE FOR
______________________________________________________ Organization/Company Name
Date of Meeting ________________ Time of Meeting ________________ a.m. __ p.m. __
Review the following and click at bottom of page for printable/faxable questionnaire.
Thank you for taking time to fill out this questionnaire. In order for Captain Coffee to contribute all he possibly can to the theme and purpose of your meeting, please respond to the following questions. The few minutes required will be more than compensated by the increased effectiveness of his presentation. Your success and the success of your meeting are his mission. (Skip any questions that do not apply.)
Address ______________________________________________________________________________________________________________ Phone(s) (____)____________ (____)___________ Fax (____)__________ Email __________________ Web site______________________________
Meeting Location (City/State) _____________________________________ Hotel accommodations __________________________________________ Address _____________________________________________________ ____________________________________________________________ Phone (____)_____________ Fax: (____)_______________ Presentation Location (if other than Hotel) _____________________________ _____________________________________________________________
Name of this particular group (i.e., Golden Circle, President’s Club, Centurions, etc.) ________________________________________ ________________________________________
Commonly used nickname and/or acronym, i.e., Big Blue (IBM), Ma Bell (AT&T): ______________________________________________________________
Commonly used advertising slogan or organization’s motto: ______________________________________________________________ ______________________________________________________________
Primary contact person(s) at the meeting site: _____________________________Cell phone/pager: ___________________ ______________________________________________________________
Names of the top senior personnel (& spouse, if in attendance) at meeting (CEO, Chairman of the Board, President, Vice Presidents, etc.): ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________
Captain Coffee will be introduced by __________________________________ Title _________________________________ Audience size __________________________ _______ % Male _______ % Female Age Ranges: 20–30 yrs. _____% 30-40 _____% 40-50 _____ % 50 + _____% Audience Make-up (i.e., top sales executives, managers and spouses, clients, etc.) _______________________________________________ ________________________________________________________
U.S. Audience ______% International audience members ______ % Dress code for principles ______________________________________ Appropriate speaker attire _____________________________________ Theme and purpose of meeting: _________________________________________________________ _________________________________________________________
What takes place immediately before Captain Coffee’s presentation? _________________________________________________________ _________________________________________________________
After his presentation? _________________________________________________________ _________________________________________________________
Current or immediate past successes of organization: _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Current or immediate past challenges within your organization/industry, i.e., personnel issues/takeovers/mergers, significant loss of market share, product setbacks, regulation, liability insurance, etc.: _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Foreseeable future difficulties or challenges: _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
What do you hope for Captain Coffee to accomplish with his presentation? _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
BOOKS and TAPES: Captain Coffee never mentions products from the speaking platform, but for the same reasons you want to share his message with your attendees, they may want to share it with their families, friends, and associates. You can make this possible by (please check): ____ Placing order forms for his book , Beyond Survival , his video and audio cassettes (1) ____ in each attendee’s registration packet, (2) ____ on the chairs or tables in the meeting room, (3) ____ at the registration desk with an announcement of their availability and location, (4) Other: ________________________________________.
____ Pre-purchasing Beyond Survival for each official attendee or specific key clients or managers, which Captain Coffee would gladly personalize beforehand; It makes a great take home or room gift for incentive meetings. Your Bureau Rep. can arrange book pre-sale.
____ Do not want to mention, make order forms available, or pre-purchase Captain Coffee’s book, Beyond Survival.
Please print (click here for printable version) and complete this questionnaire and fax it with any related program material no later than 3 weeks prior to the engagement to your Bureau representative.
Thank you!
|
|
Copyright © 2003 Coffee Enterprises, Inc.
|
