Jonathan Levi Speaking Questionnaire
Thank you for the invitation to speak. In order to abide by the rule "Know Your Audience," I ask that you please fill in this form to give me some insight as to whom I will be speaking to. Thank you!
* Required
Organization
*
Which organization is this for?
Your answer
Contact person
*
Your answer
Contact info
*
Phone and/or email of my contact person
Your answer
Date and Time
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Fashionably Late / Delays
*
Are participants likely to be on time or on “Middle Eastern Time?” Will there likely be some delays?
Yes
No
Location
*
How can I find the location, and if applicable, is transportation provided?
Your answer
Topic Of Discussion
I lecture on various topics; which topic(s) would be applicable to this audience?
Accelerated Learning
Memory
Speed Reading
Entrepreneurship
Online Courses / Online Education
Other:
Time Allotment
*
How much time for lecturing? How much time for questions?
Your answer
Who's in the Audience?
*
Help me understand whom I'm speaking to?
Entrepreneurs
Investors
Accelerator/Incubator Staff
Government Representatives
Academics
Students
Other:
Required
Audience Size
*
Approximately how many people am I speaking to?
Your answer
Format
*
Panel
Small Room
Fireside Chat/Open Discussion
Lecture Hall
Keynote
Other:
Equipment
*
What will be available to me
Projector Screen (Behind Me)
Prompt Screen (In front of me)
Handheld Mic
Clip-On Mic
Remote Control/Clicker
Laser Pointer
Other:
Required
Other lecturers
*
How many lecturers are before me and after me? What are they speaking about?
Your answer
Any other considerations
For example, will there be a need for a translator? Has anyone from the audience heard me speak before? Etc.
Your answer
Budget
*
What is your approximate budget for my talk?
Your answer
Flights & Accommodation
*
Not required (Jonathan will already be at the event)
Included in the above budget
Provided separately
Thanks!
Thanks so much for taking the time to “fill me in.” From my experience, having an understanding of the audience will greatly improve the quality and impact of my lecture.
Looking forward to it!
JL
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