While some C-levels are concerned with new business models, customer buying patterns, and rising costs, smaller businesses under 250 employees see opportunities in digital transformation to enter new markets and stay relevant. They are more vulnerable than larger businesses but see technology as helping them compete. A survey found that while many businesses think they are transforming digitally, most still rely heavily on paper and have not fully digitized workflows. Barriers to transformation include a lack of internal capabilities, view that it is not a priority, and difficulties managing employee change.