Briefing Questionnaire

PRELIMINARY BRIEFING QUESTIONNAIRE

SEMINAR QUESTIONS

The Center, Inc.
P.O. Box 700
Edmonds, WA 98020

Phone
1-425-771-5166
1-888-771-5166
1-425-670-2807 Fax

E-mail

If you have questions in regards to Seminar Bookings, then the following form will be very helpful to you and us. We understand that some things are easy to handle through questions on the phone and others through a simple document. We don't want to take up your valuable time with basic logistics questions and so have created the following questionnaire.

The answers to this questionnaire will help Dr. Jantz adapt his presentation to meet the needs of your organization. This questionnaire can be used prior to booking a seminar or after you have already scheduled a seminar.

Briefing Questionnaire

Your Contact Information
Name:	(Required)
Organization:
Address:
City:
State:
Zip:
Phone number:
Fax number:
E-Mail Address:	(Required)

Your Event
Date(s) of conference:
Function name:
Function theme:
Function purpose (eg. Awards Dinner, Conference):
Most important objective of your function:
Presentation room / area:
Presentation Time:	Start: Finish:
If presentation is during a meal, please confirm exactly which stage it is to be made (eg. Between entrée & main; before breakfast; pre-drinks):
What is happening before Dr. Jantz's presentation:
What is happening after Dr. Jantz's presentation:
Dress code for function (black tie?):

The Delegates
How many attendees are you expecting:
Average age:
% of males / females:
General description of audience (sales, retail, management, admin):
Three things you feel are most important for Dr. Jantz to know about this group:
Who are the senior people / VIP's attending:
Any other Information or Questions you may have
It would really help things along if you could possibly provide some or all of the following: Agenda for entire event Directions or map to venue Any programs/printed material relating to the event Check Box Prior To Submitting

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For Orders & Counseling Information: Call Toll-Free: 1-888-771-5166
Outside the USA, call 1-425-771-5166

E-mail The Center E-Mail

FAQ Questions
What is Compulsive Overeating and is it dangerous?	How can your clinic help with recovery from Bulimia?
Do you offer treatment for all of the compulsive eating disorders?	Is Bulimia really that serious?
What type of eating disorder treatment do you offer at your clinic?	Where can I find information about Anorexia treatment programs?
What type of treatment do you offer at your eating disorder clinic?	Does your clinic treat Nervosa as well as Bulimia?
What can you tell me about depression in man, or male depression?	How can I better understand and treat Anorexia Nervosa?
Do you provide effective eating disorder help?	Do you offer anxiety and depression therapy that works?
Do you offer integrated care for depression treatment?	Do you have a well-established anorexia treatment program?
Do you have eating disorder counselors who can also treat depression?	Can you describe some depression symptoms and some treatment options for me?
Do you have doctors and counseling staff on hand at your eating disorder treatment clinic?	Do you offer a depression cure that provides an effective alternative to standard clinical treatment?
Do you offer thorough, intensive Washington eating disorder treatment?	What can your eating disorder treatment center offer me?

FAQ Topics
Anorexia Information \| Eating Disorder, Anorexia \| Bulimia Information \| Eating Disorder, Bulimia \| Eating Disorder Treatment \| Health & Related Articles \| Intensive Treatment \| Suffering With Eating Disorders Suffering With Depression