top of page

Pre-Program Questionnaire

Motivation, Keynote Speaker and Trainer Desi Payne wants to customize her program to your organization. Please complete the online form below OR download the Pre-Program Questionnaire, fill it out, and return it as an attachment to

Online Pre-Program Questionnaire

Please allow time to fill out this online form; review all the fields and make sure you can answer all the questions first. Leaving this page will not save your entries upon return.

Your Information

Event Details


About Your Organization

Two names of good-natured people that I could use to participate in the program

Important Logistical Information


Emergency Contact Information

bottom of page