Speaking Event Questionnaire

Speaking Event Questionnaire

Please take a moment to fill out the form.

Company or Group Name

Contact Name

Venue for the event (if in-person)

Date and Time of Event

What is the purpose of the event?

Who is the audience?

What key topics/themes would you like addressed?

How does this event align with the mission/vision/strategy?

What is the desired outcome from this event?

How will you measure the success of this event?

Will the audience be:

In-person

Remote

Both In-person & Remote

Will the speaker be:

Live in-person

Recorded at the event

Live streamed to the event

Pre-recorded for the event

How long should the speech be?

List any company/industry specific insights or challenges to consider?

***Submitting this form helps us to determine if the event would be possible and a submission is in no way a commitment or obligation for either party.***

Thank you for your interest! Someone from the team will contact you shortly. 