Please copy, paste into your email and return by e-mail directly to info@futurist.com or print and fax back to 425-576-0167.

GENERAL INFORMATION

Name of Event:

Organization Name:

Contact Name:

Address:

Email address:

Phone number:

Location of meeting:

Room:

Start Time:

Length of Presentation:

DETAILS OF THE EVENT

1. What occurs immediately prior to my presentation?

2. What immediately follows my presentation?

3. Would you like me to include a question and answer period? If yes how much time do you want me to to allow for the Q/A?

4. Are you planning to audio or video tape my presentation?

THE AUDIENCE

1. Number of attendees anticipated:

2. Brief description of attendees…occupations, education, etc.

3. Other items of interest about the audience.

THE PRESENTATION

1. When was the last time a “futurist” or other speaker addressed my topic area to your group? Who was the presenter, and how was the speech received?

2. How would you describe your primary purpose for my presentation? Put another way, what outcomes do you hope that I achieve with your audience?

3. Are there special topics or questions you want me to address (for example, economic futures, technologies, demographics, the nature of a vision, etc.)?

4. Are there any minefields or traps for me to avoid?

FINALLY

1. When your audience departs from my presentation, what ONE thing do you want to be uppermost in their minds?

2. Any other information you want me to know?

Return by e-mail directly to info@futurist.com or fax back to 425-576-0167.