Jeff Davidson's book, Simpler Living, was Amazon Kindle #1 in its category, first quarter, 2012. Jeff is featured in the NY Times, Forbes, Chicago Tribune, Businessweek, Fortune, Organized Executive, and Success.

You can print out this form, complete it, and mail it back to Jeff; or if you prefer, you may complete an on-line form and send it via email by clicking here.
Group: ______________________________        Meeting Date: ______________________
Please fill out completely to help ensure that Jeff Davidson’s presentation meets your needs. Or, give Jeff a call, and he’ll be happy to walk through it with you.

Your Goals for this Presentation


What is your organization’s mission or philosophy?
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What is the purpose and/or theme of this meeting?
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What are the two biggest challenges facing your industry?

1. _________________________________________________
2. _________________________________________________

What are the two biggest challenges facing your organization?

1. _________________________________________________
2. _________________________________________________

What are the two most common types of interruptions facing your attendees?

1. _________________________________________________
2. _________________________________________________

What are you proud of as an organization or industry?


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What happens before and after Jeff speaks?


Will there be:

___ A trade show?___ A directory of trade show exhibitors?
___ Executive or director sessions?___ Spouse or partner sessions?
___ A conference guide?___ An attendance roster?

Are there any buzz words or technical terms of which Jeff should be aware?


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Are there any taboo topics/issues/terms of which Jeff should be aware?

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Success Factors


What major concept or know-how do you want attendees to retain from Jeff’s program?

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How will you evaluate the success of the program Jeff conducts?

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Audience/Organization Profile


Number of attendees: ______Average education: ______________
Average age range: ______Experience levels: ______________
Male/female ratio: ______Salary/income range: ______________


Will spouses attend? ______
Is staff attending? ______

Here are the three most important things Jeff should know about the group:

1. _________________________________________________
2. _________________________________________________
3. _________________________________________________

Which individuals should be specifically recognized and why?

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The Meeting


In addition to Jeff’s presentation, would you like Jeff to participate in any scheduled functions?

Time: ________________ Dress: ____________________________
Location: _______________________________________________
Nature of Event: _________________________________________

Is there anything else Jeff needs to know to present the best program for you?

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PLEASE SEND Jeff a copy of your meeting agenda or invitation, any organization newsletters, papers or flyers, or other promotional materials for this event. Please call at anytime with questions.