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Kevin Burns Logistics Questionnaire
This questionnaire will help Kevin make appropriate travel arrangements, arrival times, A/V requirements and also identify key contacts and personnel and when to meet them.
Organization Information
Name of organization
Your name
Your title
Your phone number
Your email address
Your mailing address
Cell number on-site
Web site URL
Presentation Information
Presentation Date
Presentation Time
Length of Presentation
Will presentation be projected onto screens using cameras?
Can Kevin invite a guest to attend his session?
Location/Meeting Site Information
This is information about the venue where the meeting is to be held.
Facility Name
Facility Address
Facility Phone
Presentation Room Name
On-Site Contact Name
On-Site Contact Phone
On-Site Contact Email
Introductions
Who will introduce Kevin? (name)
Title
Email
Phone
Mailing address
Audience Information
Number of attendees
Percentage of Male
Percentage of Female
Age Range
Description of attendee job functions
Room Set-Up
How the room is set can have a dramatic effect on learning and uptake. We wish to have this information so that Kevin is fully aware of the room set-up and his ability to interact with attendees. Please also be aware that Kevin will not present to U-shaped room or room with large open space in front of stage (like a dance floor). These floor plans are the worst when it comes to message uptake and inhibit learning. (Select one below)
Theatre Style (Preferred)
Crescent Rounds (Round tables with 6 chairs - 2nd preferred)
Round Tables (with 8 chairs - some backs to stage)
Classroom
Will alcohol be served prior to Kevin's presentation?
If "yes,' please ensure that bar is closed and that bar staff are excused during Kevin's presentation.
Yes
No
Will attendees be eating in same room?
If "yes" is answer, can you please ensure that serving staff are not clearing dishes or wandering through audience during Kevin's presentation. We ask that interruptions and distractions be held to an absolute minimum to ensure uptake and learning.
Yes
No
Audio Visual
This section is based on an assumption that an A/V company is being used for your event. If no company is being used, and if alternate arrangements have been made with Kevin in advance, you may skip this section.
Name of A/V Company
Contact name
Contact phone
Contact email
Preferred A/V Check Time
Accommodations
If no arrangements for accommodation were agreed upon, skip this section. Otherwise, hotel info is very important. (Non-smoking room please)
Room reserved for Kevin at:
Check-in Date
Confirmation #
Hotel Phone
Hotel Address
Will transportation be needed to travel from hotel to meeting venue?
