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Please take a few
minutes to complete this questionnaire so that we may customize the program to address your specific needs. If you are unsure of an answer or you feel that a
question is not relevant, please leave it blank. Use your Tab key to move to the
next field.
IMPORTANT:
When you finish, click
the "Submit Form" button at the bottom of this page so that your information will be sent to us (you will receive an immediate
confirmation). You may wish to print this page first for your records. Thank you!
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Section I.
Contact Information
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Your Name |
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Title |
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Organization |
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Street Address |
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Address Line 2 |
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City |
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State/Province |
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Zip Code/Postal Code |
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Work Phone |
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E-mail |
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Section II. Your Needs
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1. On a
scale of 1 - 10 (10 = Best), how would you rate your presentation skills?
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2. What would you need to do differently in order to rank them a 9.5? |
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3. How do you describe your presentation
style?
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4. What do you perceive as your
strengths as a presenter?
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5. What training
have you had to improve your presentation skills?
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6. What speaking or
presenting does your job require? Topics, audiences, formats, frequency, etc.
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7. What three to five goals would you like to achieve through
this program?
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8.
What other
information will help us make your program experience successful?
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9. Please rate the following areas with either a 0, 1, or
2. Use your tab key to move to the next line. (0=no help
needed, 1=some help needed, 2=help strongly needed):
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A. Reducing presentation anxiety
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B. Establishing credibility and rapport
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C. Thinking quickly “on my feet” and
under pressure
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D. Eliminating "ums," "ahs," "you
knows," etc.
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E. Using effective eye contact
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F. Presenting on television and/or radio
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G. Developing a powerful speaking voice
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H. Incorporating powerful stories and/or
humor
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I. Using my hands and other body
language to support my message
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J. Analyzing my audiences so I can speak
to their needs
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K. Creating captivating openings
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L. Crafting and delivering a compelling
message that
inspires listeners to take action
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M. Providing the right content without doing a "data dump"
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N. Delivering cohesive team presentations
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O. Mastering
question-and-answer sessions
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P. Organizing presentations so they’re
easy to deliver and follow
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Q. Retaining
control of a group
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R. Simplifying
difficult topics
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S. Maintaining
listeners’ interest
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T. Livening-up
technical presentations
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U.
Making sales presentations to potential buyers
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V. Presenting to high-level executives
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W.
Handling difficult situations or tough audiences
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X.
Recognizing and adapting to different listening/buying styles
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Y. Conducting training
sessions
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Z. Using effective visual aids and/or
PowerPoint
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10. Please review the
list above and identify your top three or four needs. Please enter the item
letters here
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IMPORTANT:
Click the "Submit Form"
button at the bottom of this page so that your information will be sent to us (you will receive an immediate
confirmation). You may wish to print this page first for your records.
If you have any difficulty, you can fax it to us
at 404.286.3526.
Thank you! |
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