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Public Relations Questionnaire


NAME:  E-MAIL:
TELEPHONE: COMPANY:
DO YOU HAVE A 300 DPI JPEG HEAD SHOT PHOTO? DO YOU HAVE BOTH A CURRENT SHORT AND LONG BIO?
YES  NO  YES  NO 
PAST PUBLIC RELATIONS ACTIVITIES:
AWARDS RECEIVED:
INTERVIEWS GIVEN (LIST MEDIA AND DATES):
DO YOU ENJOY PUBLIC SPEAKING?
YES  NO 
POSSIBLE SPEAKING TOPICS:
DO YOU OR DOES YOUR FIRM PRODUCE A NEWSLETTER?
YES  NO 
IF YES, HOW OFTEN?
DO YOU ENJOY WRITING ARTICLES?
YES  NO 
POSSIBLE ARTICLE TOPICS:
DO YOU ENJOY HOSTING SOCIAL EVENTS?
YES  NO 
IF YES, WHAT TYPE?
DOES YOUR SPOUSE OR SIGNIFICANT OTHER ENJOY HOSTING SOCIAL EVENTS?
YES  NO 

SUBMIT THIS FORM TO (Choose One Person) :