Booking of Our CEO can be done anywhere for both your Inhouse and Public Mechanical/Reliability and Maintenance courses!

1. Ntozelizwe Mqenebe’s Pre-Program Questionnaire
Name of company/organization/association: ______________________________________________________
Name of person completing this questionnaire: ______________________________________________________
Phone number (and extension): ______________________________________________________
Email address: ______________________________________________________
Presentation Date: ______________________________________________________
Starting time of Ntozelizwe’s program: ______________________________________________________
Ending time of Ntozelizwe’s program: ______________________________________________________
Presentation Site: ______________________________________________________
Address: ______________________________________________________
Country: ______________________________________________________
City: ______________________________________________________
Phone #: ______________________________________________________
Travel Arrangements
Arrival Date: ______________________________________________________
Flight arrangements: ______________________________________________________
Closest airport: ______________________________________________________
Hotel accommodation: ______________________________________________________
Address: ______________________________________________________

2. Country: ______________________________________________________
City: ______________________________________________________
Phone #: ______________________________________________________
Hotel confirmation number: ______________________________________________________
Ground Transportation: ______________________________________________________
Audience Profile
1. Audience size: _____________________________________________________
2. How will the audience be seated:
3.
______________________________________________________
[ ] Theater
[ ] Classroom
[ ] Rounds Tables
[ ] Other (please specify):
4. Are spouses invited? [ ] Yes [ ] No
5. Percentage of males/females? Males ________________% Females ________________%
6. Please describe in one or two sentences what your company or organization does.
___________________________________________________________________________________________________________
____________________________________________________________________________________________________________
7. Please describe the audience. What are the major job responsibilities or titles? (This is very important)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
8. Who are the customers of the audience?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
9. Please list the names of key company executives (and their positions) who will attend the meeting.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

3. The Meeting
10. What is the “theme” of the course/workshop? ______________________________________________________
11. What is the reason/purpose/goal for this meeting? (Industry meeting, etc.)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
12. Who else will be speaking at the meeting (and on what subjects)?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
13. Who has spoken in the past (and on what subjects?)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
14. What takes place immediately before and after Ntozelizwe’s presentation?
Before: ______________________________________________________
After: ______________________________________________________
15. Who will introduce Ntozelizwe? _____________________________________________________
16. What are the three things you want people to remember when Ntozelizwe’s presentation is completed? (This is very
important!)
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
17. Can you offer any suggestions to make this the best presentation your audience has ever heard?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
18. Are there any issues that should be avoided? ______________________________________________________
19. What will be the appropriate attire for the attendees and how would you like Ntozelizwe to dress?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Company Information
20. What is your company’s mission statement?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
21. Who is your competition and why should a customer buy from you over your competition? What makes you special,
unique, etc.?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
22. What are the 3 most important things I should know about your organization?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
23. What are the three greatest accomplishments your company has had this year?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________

4. 24. Are there any objections, problems, concerns or confrontations the audience is dealing with in their jobs or with what
they maintain?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
25. In case there are any other questions or additional research Ntozelizwe might need, could you please list the names,
titles and phone numbers of two more people who might help?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
26. What are the two or three best books written about your industry?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
27. What question(s) have we neglected to ask that would help Ntozelizwe better understand your company, association or
industry?
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Ntozelizwe Mqenebe
Ntozelizwe Mqenebe
Cnr. Preller & Van Der Lingen 39, 12&14
Bothaville
9660
Tel: +27 56 515 1024
Fax: +27 86 606 9016