Kim Aycock Conference/Training Questionnaire
Thank you for taking a few minutes to complete this short questionnaire so that I have some baseline information about your conference or training. At the end I will ask you to suggest dates/times to make it easy for us to hop on a call to discuss. I am looking forward to hearing more about how we can work together to make your event AWESOME!
Name: *
Your answer
Best email address: *
Your answer
Best phone number:
Your answer
What type of event is it? *
Required
Name of conference:
Your answer
Name of camp (if staff training):
Your answer
Location of event: *
Your answer
Date/s of event: *
MM
/
DD
/
YYYY
Time of event: *
Time
:
Conference or training theme (enter DNA if not known at this time): *
Your answer
Target audience: *
Required
Size of group: *
Your answer
Would you like me to give (check all that apply): *
Thoughts on keynote topic/s:
Your answer
Thoughts on breakout session topic/s:
Your answer
If applicable, please share website address:
Your answer
Closest/best airports (if too far to drive - I live in NC):
Your answer
Will I need to rent a car?
Let's set up a time to chat! Please suggest a few dates/times that are good for you (and include time zone): *
Your answer
How would you prefer me to contact you? *
Anything else that would be helpful for me to know before we hop on a call? *
Your answer
Check here if you would like to receive my "Keep-it-Fresh" newsletter with mid-summer tips and tricks for staff to use the moment they get it: *
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