1. By R. Fierson
Please respond to the following statements by circling that best describes you
opinion:
1. = Strongly disagree
2. = Disagree
3. = Neutral Opinion
4. = Agree
5. = Strongly Agree
1. I am comfortable with the current operating environment.
1 2 3 4 5
2. I am fearful of the unknowns at this organization, and this may not be in my best
interest
1 2 3 4 5
3. Management has not clearly comminuted the vision and reasons for these
changes.
1 2 3 4 5
4. I believe that using SAP will change my job and these changes are not needed.
1 2 3 4 5
5. I don’t agree with the direction of this SAP change.
1 2 3 4 5
6. My role in his change initiative has not been clearly defined and commuted to me
1 2 3 4 5
7. I believe this change initiative is simply another “Flavor of the Month” or
something not really needed. And will eventually go away like so many others
that have been tried.
1 2 3 4 5
Written & Produced By R. Fierson – 12-05 - 15 1
Stakeholder Assessment & Readiness fo Change Survey
Please respond to the following statements by circling that best describes you
opinion
1. = Strongly disagree
2. = Disagree
3. = Neutral Opinion
4. = Agree
5. = Strongle Agree

2. 8. I am concerned about the new Processes, Requirements and Technology that are
part of this change
1 2 3 4 5
9. I fear that I don’t have the skills and experience to manage this change
effectively.
1 2 3 4 5
10. I simply don’t have the needed time to deal with the new work required for this
change.
1 2 3 4 5
11. I am worried that I will loose power, authority, and control of my area as of a
result of this change
1 2 3 4 5
12. I am worried that this change untimely will be about losing my job
1 2 3 4 5
Written & Produced By R. Fierson – 12-05 - 15 2
RESULTS KEY (That will not be on the survey itself)
Add the results of the survey and compare to the following:
48-60 = There is a high degree of resistance to the change initiative.
Indicating that failure or less then desired results will be a probable outcome.
36-47 = There is some resistance to the change initiative that will pose
significant obstacles and could lead to the change initiative failing (needs)
To be matched with others from similar areas to see if these are pockets of
resistance or independent r
25-35 = There is a normal amount of small resistance, that should be
addressed, but success is likely if you have the correct plan, and change
methodology
12-24= There seems to be little resistance to the change initiative and
therefore we should have a successful outcome. (Given that we do the
change initiative correctly, including quick/ small victories, and have
proper training and a sense of urgency and proper communication.

3. Tony, then convert to a Bar Graph.
Then I have another sheet that coverts that into the ADKAR.
Written & Produced By R. Fierson – 12-05 - 15 3