PRE – PROGRAM QUESTIONNAIRE

Whatever message you want to send out can be incorporated into Lila’s presentation. She doesn’t want to speak at the audience. She wants to connect with them. With a little extra communication, she can fine-tune her keynote and customize the message, if need be, to better suit your organization.

Lila is bringing her energy and enthusiasm to your event to help make it the greatest possible success. In order for her to connect with your audience, we first want to connect with you and make sure we have all the necessary information and create a keynote tailor made for you.

Please complete this questionnaire and return with the program or run of show for your event prior to your first conference call with Lila. If all information is not available, please complete as thoroughly as possible and follow – up with additional information. This helps avoid any miscommunication and insure a smooth flow of communication. (That’s good energy!)

Get Started - Contact Lila Today!
Please fill out the form below to connect with Lila. Have an amazing day, TODAY!
Organization*
Address*
Street Address Address Line 2 City State ZIP Code
Website
Date of Lila's Appearance*
MM slash DD slash YYYY
1. Primary Contact Person prior to event:
Name*
First Last
Title
Office Phone
Cell Phone*
Email*
2. Primary Contact Person at the event (if different than above):
Name*
First Last
Title
Office Phone
Cell Phone*
Email*
LOGISTICAL INFORMATION
1 . What is the conference/event theme or focus?*
2 . What is happening immediately BEFORE Lila’s presentation?*
3 . What is happening immediately AFTER Lila's presentation?*
4 . What speakers have you had in the past?*
5 . Who else is speaking at this event?*
6. What is the expected attire for participants?*

PRE – PROGRAM QUESTIONNAIRE

Get Started - Contact Lila Today!

1. Primary Contact Person prior to event:

2. Primary Contact Person at the event (if different than above):

LOGISTICAL INFORMATION