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,
City, State, ZIP, and Country
Your Time Zone
Eastern Standard Time (EST)
Central Standard Time (CST)
Mountain Standard Time (MST)
Pacific Standard Time (PST)
About Your Organization
What does your company do? What makes your services or products unique?
How did you hear about me (Grace LaConte)?
Add more details in the "Other" box
Word of Mouth (whom can I thank?)
Social Media (which platform?)
Presentation (which event?)
Are you responsible for selecting speakers?
If No, what is the decision-maker's name and contact info?
Are you looking for a virtual or on-site speaker?
Please share your event's Location, Date(s), and Time if available. If your conference or event has a website, include the link.
On-Site Speaking Formats
What on-site services would you like me to deliver?
Keynote Opening (event's initial message that engages and inspires a large group)
Keynote Closing (event's final message that engages and inspires a large group)
Main Stage Talk (engaging, inspiring message to any sized group)
Workshop/Training Seminar (interactive, hands-on, skill-building session for small group)
Breakout Session (intimate discussion at an event)
Panel Discussion or Interview (expert interaction at a conference)
Virtual Speaking Formats
What virtual services would you like me to deliver?
Virtual Workshop (interactive, hands-on, skill-building session for small group)
Virtual Classroom Lecture (educational, interactive presentation)
Virtual Keynote (engaging, inspiring message to any sized group)
Virtual Interview (moderator and/or attendees pose questions)
Webinar (educational lecture to large group)
Expected # of Attendees?
Which topics would you like me to deliver? (or make a suggestion)
The Uniqueness Factor: How to Recognize Your Strategic Risk Strengths
Hidden Risk Opportunities in the Digital World
Organizational Change Secrets: Designing an Effective Strategic Plan
Risk Intelligence Skills for Executive Leaders
How to Find and Fix Strategic Vulnerabilities
Creating and Maintaining Healthy Feedback Loops
The REAL Reasons Employees Quit: Creating a Participatory Culture
What are your goals for the event?
Inform and educate attendees
Build enthusiasm and inspire action
Generate revenue for your organization
Increase participation or membership
Provide sales prospects to vendors/sponsors
Have you taken these personality assessments?
What are your personality assessment results?
Why would you like to work with me (Grace LaConte), specifically?
What else should I know about your event?
Do you want to receive a free monthly e-mail with Strategy tips and exclusive updates?
Yes, subscribe me
Thanks for taking the time to complete this form! I will review your responses and connect with you soon.
Send me a copy of my responses.
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