Speaking Client Pre-Survey
Thank you for your interest in having me speak at your event! Please help me understand your needs by taking a few minutes to fill out this survey.

Any additional information you can provide is helpful, but you don't need to have all of the details ironed out quite yet. This information will serve as a starting point so that we can determine together if I'm the right speaker for your event.

I look forward to working with you!
Mallory Whitfield

Email address *
Company / Organization Name *
Your answer
Contact Person Name *
Your answer
Phone Number *
Your answer
In what city and state will the event be held?
Your answer
What are your goals for our work together?
Your answer
What is your speaker/facilitator budget for this portion of the programming?
Your answer
Is this organization a non-profit? If so, what is its annual operating budget?
Your answer
Will there be a professional photographer and/or videographer at the event?
Your answer
How did you hear about Mallory?
Your answer
Event Type
Do you have date(s) in mind for the event?
Your answer
How many participants do you expect?
Your answer
Who are you expecting to attend the event (small business owners, artists, etc)?
Your answer
If this is a public event, how will it be promoted?
Your answer
What is your ideal length of time for the event you're requesting?
Your answer
Anything else you would like me to know?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service