If you are human, leave this field blank.Pre-Program Questionnaire to Book Mary MiscisinLet us know about your group by filling out this pre-program questionnaire. Although you may not have all the details of your event in place yet, any information you provide helps Mary get better acquainted with your group and assists her in meeting your specific objectives. Name *Email *OrganizationDepartmentTitleAddressPhone *FaxBest Method of ContactPhoneEmailEither Phone or EmailPresentation(s) RequestedAlter Your Life by Your AttitudeCaught Between a Rock and a WorkplacePersonality Lingo Basic TrainingPersonality Lingo Effective CommunicationPersonality Lingo Navigating StressLook Who\'s Talking - Accepting FeedbackTeambuilding with PersonalityCan’t Get No Satisfaction – Preventing BurnoutA Personality Approach to WellnessGet Curious, Not Furious A Diverse Approach to Customer ServiceDealing with ConflictFollow Your Personality to a Weight You Love!Made to OrderIf you selected "made to order" presentation, please describe:Date of PresentationTime and length of presentation (start and end time):Who is the audience and expected number of participants?What is the theme and purpose of your event?Please list three (3) specific objectives for this presentation:Are there any sensitive issues to be avoided?Is there anything we should be celebrating?What are three important things that should be known about your group before addressing them?What significant events have occurred in your organization or group within the last year?Please list the names and titles of people in your organization with whom we should be familiar (regardless of whether they will attend the presentation):Please list any internet links, articles, newsletters, or other information you believe is relevant to helping us better understand your organization and the presentation attendees:Please provide terminology for the various functional roles within your organization (i.e., Director, Manager, Team Lead, etc.):Please provide terminology for the various ways in which you refer to the clients you serve (Customer, Patient, Client, Student, etc.):What is planned to happen before this presentation? (i.e. other presentations, lunch, etc.)What is planned to happen during this presentation? (i.e. other presentations, lunch, etc.)What is planned to happen after this presentation? (i.e. other presentations, lunch, etc.)Please provide the event address and directions to the presentation room/location:Instructions for parking, permits, check-in ...How did you hear about Mary Miscisin?Captcha *reCAPTCHA is required.Submit
