Pre-Program Questionnaire for Laura Stack Speaking Engagements

Your name

Sponsoring Organization

Cell Phone Number

Your email

Website

Event where Laura is speaking

Date of Laura's presentation

Beginning and end time of Laura's presentation in what time zone?

Physical address of venu (if in person) Who will be in attendance?

How many people?

What are their roles/jobs?

Will Laura be conducting a book signing after her presentation?
If yes:

(YES or NO) We are interested in pre-purchasing a book as a gift for each person.

(YES or NO) We would like you to have books available on-site for individual purchase.

(YES or NO) Please call me to discuss options and pricing.

Additional Questions:

Why did you choose this topic?

What do participants think or know about this topic?

What action would you like people to take after Laura's presentation?

Rank order in importance (1 = most important, 10 = least important) the topics you want Laura to address in her presentation (Place numbers 1 through 10 in the ten items below). All presentations tell Johnny's story and share the mission of Johnny's Ambassadors.

1) Types and potencies of marijuana products

2) Adolescent brain development and THC

3) Impacts of marijuana use on youth

4) Outcomes of legalization of "medical" marijuana for youth

5) Lessons learned from Colorado since legalization

6) How the marijuana industry markets to and targets youth

7) Colorado House Bill 1317 regulating marijuana concentrates

8) How marijuana causes psychosis and mental illness

9) How marijuana increases suicidality, suicide attempts, and suicide

10) What can parents do to protect their children from marijuana use?

Additional Questions:

What do you specifically want to make sure Laura talks about?

Any other comments or information to share with Laura about the event?

Additional points of information for Laura's presentation:

* Please confirm you will have an LCD projector (Laura's laptop uses HDMI), a screen, and a microphone.
* Laura's presentation WILL have sound and videos.
* Laura's husband, John (Johnny's dad), travels with her. Please let us know if you want him to participate in Q&A.
* To introduce Laura to your group prior to her presentation, please feel free to share information from https://JohnnysAmbassadors.org/mediakit and https://linktr.ee/johnnysambassadors.
* Laura will receive a copy of this form when you hit SUBMIT; please print a copy or copy/paste into a Word document before then if you want one for your records.

Please email [email protected] with any further questions. Thank you!

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