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Event Questionnaire

Home / Event Questionnaire

Event Questionnaire

Event Name *
Event Date (mm/dd/yy) *
Ariana's Exact Times (start/ end) *
Are there any breaks planned during Ariana's time? If so, how many and when? *
What kind of event is this? (corporate meeting, team building, entrepreneurship event, radio show, professional conference, etc.) *

What is the event format? (Check all that apply) *

  Talk/ Lecture (in person)
  Workshop (in person)
  Interview
  AM/FM Radio Show
  Satellite Radio Show
  Internet Radio Show
  Teleseminar
  Virtual Workshop

For Interviews: *

  Please send me a list of questions to ask Ariana
  We will send you a list of questions we would like to ask, at least 1 week in advance
  Not an interview, Ariana will have full control over her time

Please Note

For interviews, we can either send you over a list of questions that Ariana will answer OR you can send us your questions in advance. We require a minimum of 1 week's advance notice for Ariana to review your questions. This allows Ariana to give your audience the specific information that is most relevant and interesting to them.

Preferred Topic *

  Bodacious Branding
  The Magic of Mojo™ (book and/or 5-step process)
  Corporate Culture Development/ Values-driven Brand Culture
  Luxurious Livelihood™/ Efficient Entrepreneurship
  Other (please explain in additional info field below)

Describe the Audience (average age, job titles, other classifying info) *
Number Attending (If radio show, average number of listeners/ subscribers)? *
What is Ariana's Role? *
Are there any other speakers? (Please list any other speakers and their titles/ companies/ topics) *
Are there any sensitive issues which should be avoided? *
Please describe stage setup, available technology (projector, white board, etc.) and event's location *
Will this event be recorded/ documented? * Yes
No
If yes, where we we be able to find materials from the event once it is over (radio show replay, event photographs/ video, etc.)? *
Contact Person Name & Title *
Contact Person Email *
Contact Person Phone *
Anything additional info or questions you would like to share?