Name
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Company
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Address
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Phone
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Email address
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How did you hear about us?
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Internet - which Search Engine?
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Referral
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Other
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What does your company do?
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What division / dept. is this for?
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Other:
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What type of event are you planning?
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Other:
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Is there a theme?
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How much time is allocated for the program?
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Demographics
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Gender
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% Male and
% Female |
Number of Participants
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Age Range
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Between
and
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A word or two to describe your group (Physical,
cerebral, outgoing, shy?)
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What?
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When ?
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Where ?
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What worked, what didn't?
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What were the goals?
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Other Goals / Issues
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Are you looking for a structured or more relaxed
program?
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Structured
More Relaxed |
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What challenges caught your eye on our web
site
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Venue (do you have one?)
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Date
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Time
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Do you need help coordinating additional services?
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Do you have a budget in mind?
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$
per person (approximate) |
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