Powerful Presentation Skills

Communicating with Confidence

Pre-Training Questionnaire

The completion of this form will provide us with specific information about the subjects on which you plan to make presentations. We would ask that you choose a real situation or concern that faces your organization, one that may be difficult to deal with in terms of its complexity. This information will enable us to address issues thoroughly during your Powerful Presentation Skills training seminar.

PLEASE ENSURE THAT WE RECEIVE YOUR COMPLETED QUESTIONNAIRE WITH ANY RELEVANT BACKGROUND INFORMATION AT LEAST ONE WEEK PRIOR TO YOUR SCHEDULED TRAINING.

This form may be submitted on-line or printed and sent via facsimile to Attention: Delta Media Training at 613.233.5880.

Please note that any and all information provided in this profile will be treated in the strictest confidence.

Participant Identification
Name:
Title:	(optional)
Organization:	(optional)
Address:	(optional)
Telephone:
Facsimile:	(optional)
E-mail:
Web site:	(optional)
Area(s) of responsibility:
Extent of previous Presentation Skills training:	None Some Extensive
Extent of presentation experience:	None Some Extensive
Training Date, Time and Location
Date to attend session (if known):
If your training date has not yet been confirmed, please provide us with your preferred date(s) and time(s) below: My preferred dates and times are:	I need this training as soon as possible. Preferred Date: 1st choice: a.m. p.m. / select 2nd choice: a.m. p.m. / select 3rd choice: a.m. p.m. / select
Location of session (if known):	Delta Media, Suite 405, 350 Sparks Street, Ottawa, Ontario (subject to availability;located in the Delta Hotel office complex, entrances from Sparks, Lyon and Queen Streets) Other (please specify):
Issue Identification Issue No. 1
Please give a brief description of a real situation or issue you would face.
Target audience(s):	1. 2. 3.
Messages:	1. 2. 3.
Strengths and weaknesses (in presentation skills):	1. 2. 3.
What is the perspective/image you wish to create?

PLEASE CLICK "SUBMIT" OR PRINT OUT THIS COMPLETED QUESTIONNAIRE AND SEND TO: ATTENTION: Training Delta Media Inc. 350 Sparks Street, Suite 405 Ottawa, Ontario K1R 7S8 Tel.: 613.233.9191 Fax: 613.233.5880