Forms

Pre Event Questionnaire

This short pre-event questionnaire was designed with the intention of allowing Jesse Ferrell to customize a presentation to the specific wants, needs and concerns of your company or organization.

Please make every effort to answer all of the questions that apply to your company or organization. You may elect to disregard any of the questions that may not apply to your group, if so please indicate N/A for your answer.

Your commitment to completing this pre-event questionnaire in a timely fashion will add significant value to the entire presentation and building of an inspiring story that sticks with participants.

As for the remaining questions, it may be easier to have a brief phone conversation when the time is right rather than typing up each line item.

General Information

Complete Company Name
Alternate Name or Acronym
Mailing Address
Vision Statement
Company Mission Statement
Company Slogan or Event Theme

Key Contacts

Primary
Name
Mobile
E-Mail

Technical
Name
Mobile
E-Mail

We use Macs with HDMI and display ports.

Event Details

Date
Start Time
End Time

Speaking Details

Start Time
End Time
Number of attendees

Audience & Attendee Profile

What is the demographic makeup of the audience?
% of Male
% of Female
Age Range
Occupation or Vocation
Are there any frustrations they experience in their businesses or work? If yes, what are those frustrations?
Are there any sensitive or controversial issues that should be avoided?
What is the biggest challenge your team is facing current and future?
Is there other relative information you would like to share, i.e. association jargon, etc.

Special Speaker Information

What is the specific purpose of this meeting?
What does Jesse need to do in order to make this talk a success for you and the organization?
If you could 'wave a magic wand' and correct one specific behavior, what would it be?
Were those past speakers effective? If so, why and how?

Special Points of Interest about your Organization and Attendees

Recent Organizational Achievements
Recent Challenges of Organization
What is your speaker budget for this event?

Coaching Expectations

General Information

First Name
Last Name
Company Name
Job Title
Mobile Number
Office Number
Mailing Address
Preferred method of communication
Date of Birth
What are your top 5 accomplishments in life thus far?
What do you believe are your strengths?
What do you believe are your limitations?
What drives your quest for professional improvement?
What drives your quest for personal improvement?
When you think about the “big picture of life,” what matters most to you?
Why are you considering hiring JessTalk Speaking & Coaching firm?
What is the most important step you can take this week to begin accomplishing and living into your best life now?
Where do you see yourself in 1 year, in 3 years and in 5 years?
What 3 short-term goals would you like to achieve over the next 90-120 days?
What gives you energy, satisfaction, and joy?
What drains your energy?
Is there anything that occasionally or often keeps you awake at night or consumes time that you wish to eliminate?
How have you been motivated in the past to reach difficult goals or make difficult decisions?
What are the top benefits you want from our coaching process?
What do you believe are the main strengths the best executives and leaders possess and why do you believe this?

Give us a call!

Contact Us

If you are interested in hiring The Firm to deliver a powerful keynote, workshop or training program for your next event please complete form on this page. Include sense of urgency and who’s the targeted audience.

Call

855-JESS-TLK
855-537-7855

Address

8550 West Charleston Blvd. Suite 102
Las Vegas, Nevada 89117

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