(for use when employees are all from the same organization)
Date of presentation: Location:
What would make this presentation meaningful for your group?
What specific objectives do you have for this presentation?
What workshops & presentations have employees attended in the past year?
With what results?
About your Organization
Name of organization
What are the goals of the organization/department for the next year?
Are you concerned as to how these goals will impact employee morale?
What business issue is of most concern at this moment?
What impact is it having on employee morale?
What significant events of the past year have affected the work, attitudes and relationships of your employees?
Rapid Change Within Organization 1 2 3 4 5
Turnover 1 2 3 4 5
Employee Morale 1 2 3 4 5
Customer Service (external) 1 2 3 4 5
Customer Service (internal) 1 2 3 4 5
About the audience
Number attending: Average age:
Percentage of male to female (ie. 50/50):
Typical educational background:
Average years job experience:
Major job responsibilities of audience:
Would you be willing to make a preprogram survey available to your employees?
Your name and title
Email or fax your completed form to: