The Momentum Company Questionnaire
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929 Ray Andra Drive
Desoto Texas 75115. 
info@momentumcompany.com
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Please print the form below and return it along with the items requested:


1. What are specific objectives/results desired from Eloise's portion of the meeting ?

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2. What is the theme, if any, of this meeting ?

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3. What is the biggest challenge facing the audience back on the job ?

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4. What job functions are these audience members responsible for ?

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5. What areas of performance are in need of improvement ?

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6. Please provide the following information about your group:   


 - Avg.Age range 

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 - Avg. personal income level 

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 - Percent Male 

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 - Percent Female 

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 - Percent New Hires 

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 - Veterans 

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7. Please provide us with the names and phone numbers of three key audience 
members Eloise can contact to get audience perspective.

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8. What takes place immediately before and after Eloise speaks ?

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9. Who should Eloise contact upon arrival at his hotel ?

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10. What is the appropriate attire for Eloise at your meeting ?

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Please, fax this to 972-274-6698. Thank you.