Booking Questionaire

What type of event are you planning?

Leadership conference

Corporate meeting

Executive retreat

Association conference

Women’s leadership event

Sales meeting

Annual meeting

Other

When and where is the event?

Date

City/State

In-person / Virtual / Hybrid

Approximately how many people will attend?

Under 50

50–100

100–250

250–500

500+

Who will be in the audience?

C-suite / Executives

Senior leaders

People leaders / Managers

HR / Talent / L&D

Emerging leaders

Sales professionals

Entrepreneurs/business owners

Mixed audience

Which topic feels closest to what your audience needs?

Building Chemistry: Creating Connection That Moves People

The Edge of Your Best: Capacity Before Burnout

Leadership, Communication & Human Connection

Navigating Change & Uncertainty

Burnout: Helping Leaders Have More Capacity and Release Stress

Something customized for our organization

Not sure yet — help us decide

What kind of experience are you looking for?

High-energy and entertaining

Research-based and thought-provoking

Highly interactive

Inspirational/story-driven

Practical tools people can immediately use

Executive-level conversation

A combination

What investment range has been allocated for the keynote?

Under $5,000

$5,000–$10,000

$10,000 -$25,000

$25,000+

We haven't established a budget yet

Are you interested in extending the experience beyond the keynote?

Keynote only

Keynote + workshop

Executive/team session

Leadership retreat

Executive coaching

Multi-session leadership experience

Not sure yet

Where are you in the decision-making process?

I'm the decision-maker

I'm part of the decision-making team

I'm researching speakers for our team

We're comparing a few speakers

We're just beginning to explore possibilities

How did you hear about Janice?

• Referral

• Saw Janice speak

• LinkedIn

• Instagram

• Google/search

• Conference/event

• Podcast/media

• Other

Booking Questionnaire

DOWNLOAD THE FREE GUIDE