Pre-Program Questionnaire

It is important that Dan receive as much information as possible prior to your event to aid his customization of your program. Please complete this form and submit it as soon as possible.

How did we get here?

Heard Dan speak beforeWord of mouthSpeakers BureauWebsiteSocial MediaDan’s book, Off Balance On PurposeReferral from another speaker

Demonstrated ExpertiseBureau RecommendationVideo PreviewPreviewed Dan at another eventHired Dan in the pastOther

Contact prior to meeting:

On-site contact:

The Event

Single dayMulti-day event

Logistical Information

The Audience

Organization's Background

Annual MeetingAnnual ConferenceCustomer MeetingStrategic PlanningEducation Conference/MeetingNew DirectionConventionOther

Dan's Program