Corporate Event Speaker Max Bolka
Professional Keynote
Speaker - Author - Coac
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Corporate Event Speaker Max Bolka
Keynote Speaker
Practice Management &
Business Success Consultant

"Building First Class Financial Advisors"


Pre-Program Questionnaire

Thank You For Your Interest In Selecting Max Bolka For Your Event

Please answer the following questions as best you can
to see how Max can best be of service to you:


THE EVENT

Specific Date(s) For Entire Event:
Time:
Place:
How Many Attendees Do You Expect:
Is There A Theme To This Event/Meeting? Yes No
Please Describe The Purpose For Your Event:


MAX'S ROLE


Length Of Time You Need Max To Speak:
(Fees Do Not Vary According To Length. )


 60 Minutes 90 Minutes 120 Minutes
           ( 90 Minutes Is Most Comfortable For Max)
Date You Would Like Max To Speak:

Start Time:


End Time:

What Format Would You Like?

What Topic Would You Like
Max To Speak On?



GOALS

What Is Your Primary Purpose For
Hiring A Speaker For This Slot/Event
Other:
What Ideas Would You Like Your Audience
Members To Walk Away With?
What Action Steps Would Your Audience
Members To Walk Away With?
What Is Your Biggest Challenge In Hiring
A Speaker For This Slot/Event


Max's Goal Is To Contribute To The Success Of Your Event, And Make You Look Good!

What Would Cause You To Say, "Wow! That's Just What We Needed. Thank You So Much. You Did An Excellent Job, And Delivered Far More Than I Expected"?


What Else Can Max Do For You While He Is There, At No Extra Charge?
(Choose As Many As You Wish To Request, All During Presentation Day)

Conduct A Free 30-Minute Workshop On the Specific Topic He Presented Earlier
Have Lunch or Dinner That Day With VIPs From Your Organization
Host a Special Event That Day/Evening

Other Request:



SPEAKER SELECTION PROCESS


What Is Your Time Frame For Finalizing
All Decisions For Hiring Speakers?



How Does Your Speaker Selection Process Work?

Individual Committee

What Other Speakers Have You
Already Booked For This Event?

On What Topics Will They Be Speaking?
Would You Like Max To Suggest
Other Speakers To You?
Yes No

Who Comes to Mind As The Best Speaker
You Have Ever Hired? And Why?


For What Other Meetings/Events Would You Like To Consider Max As A Speaker?

Would You Like Us To Contact Others
Who Will Be Involved In This Decision?







Yes No
   


If yes, who?

Name:
Title:
Company:
Phone:
E-Mail:




Name:

Title:
Company:
Phone:
E-Mail:


Name:

Title:
Company:
Phone:
E-Mail:


Name:

Title:
Company:
Phone:
E-Mail:

 



Comments
:


Thank You For Taking The Time To Provide These Insights Into Your Upcoming Event,
And For Helping Us Determine How We Can Help You "Take It To The Max!"






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Enlightened Business Consulting
P.O. Box 15765, Asheville, North Carolina 28813
Toll Free: 800-472-3288  Local: 828-299-7038
E-mail Max at max@maxbolka.com

Corporate Event Speaker Max Bolka

© 2004-2005 Max Bolka
Corporate Event Speaker

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