Integrative Leadership International

Helping individuals and organizations become integrated.
Building the Foundation for Personal,
Interpersonal and Organizational Success


Integrative Leadership International Ltd.

P.O. Box 22204
Bankers Hall
Calgary, AB
T2P 4J5

Phone: (403) 441-9959
Direct: (403) 809-9894

Email Us


Conference Speaking

III. For Meeting Planners


Pre-Program Questionaire

Contact Data:
Program Date:
Name of preparer:
Phone Number:
Fax Number:
The Program:
Purpose of the gathering:
Theme for this event:
Specific location of program:
Start and end times for the facilitator's presentation and program activities that precede and follow the presentation:
Your specific objectives for the facilitator's presentation:
What behavior changes, results or outcomes would signal that this presentation was successful?
Other professional speakers who will be participating in this program and their topics:
Your Organization:
Significant events/developments in your group, organization or industry over the last year:
Recent breakthroughs and achievements:
Current challenges:
Sensitive issues that should be avoided:
Audience Profile
Number of Attendees:
Percentages: Male Female
Average Age:
Educational background:
Major job titles and job responsibilities of attendees:
What 2-3 main things should the facilitators know about working with this group?:
Other attendees (spouses, special guests, association reps?):
Contact information for 3-5 attendees representing a typical cross section of the group, whom the facilitators could contact in advance for background information to help with their preparation:
NamesJob TitlesPhoneE-mail
Any specific requests, cautions, advice that you would offer:


Leadership Workshops
Integrative Leadership International