LaConte Consulting: Basic Speaker Questionnaire
Hello! I'm Grace LaConte -- Thanks very much for your interest in my speaking services.

The purpose of this questionnaire is to get some basic info about your needs. Please answer each question in as much detail as possible. After you've submitted, it, I will contact you to schedule a followup discussion.

To your success,

Grace LaConte
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Your Title *
Your answer
Organization Name *
Your answer
Mailing Address *
Your answer
City, State, ZIP, and Country *
Your answer
Your Time Zone *
Company Website *
Your answer
About Your Organization *
What does your company do? What makes your services or products unique?
Your answer
How did you hear about me (Grace LaConte)? *
Add more details in the "Other" box
Your Event
Are you responsible for selecting speakers? *
If No, what is the decision-maker's name and contact info?
Your answer
Delivery Method *
Are you looking for a virtual or on-site speaker?
Speaking Details *
Please share your event's Location, Date(s), and Time if available. If your conference or event has a website, include the link.
Your answer
On-Site Speaking Formats *
What on-site services would you like me to deliver?
Virtual Speaking Formats *
What virtual services would you like me to deliver?
Expected # of Attendees? *
Speaking Topics *
Which topics would you like me to deliver? (or make a suggestion)
What are your goals for the event?
Have you taken these personality assessments?
What are your personality assessment results?
Your answer
Why would you like to work with me (Grace LaConte), specifically? *
Your answer
What else should I know about your event? *
Your answer
Do you want to receive a free monthly e-mail with Strategy tips and exclusive updates? *
Thanks for taking the time to complete this form! I will review your responses and connect with you soon.
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