This document contains a change readiness assessment questionnaire to determine an individual's experience with past organizational changes and perception of a new project. It consists of 5 categories with multiple questions to rate on a 5-point scale regarding agreement with statements about communication of the need for change, change strategy, leadership, empowerment during change, and enrollment in the new project. The results will be tabulated to assess change readiness.

1. Change Readiness Assessment
Instruction:
This questionnaire is aimed at determining your past experience regarding changes that were made
in your organization, and also how you perceive the new project. You are given a series of
questions that you need to rate, according to your experience, and indicating whether you agree or
disagree with the respective statements.
Remember, you are rating your own experience and your response is anonymous
Scale:
For this exercise we request you to answer every question according to following scale:
1
Strongly
Disagree
2
Disagree
Somewhat
3
Neutral
4
Agree
Somewhat
5
Strongly
Agree
1. Case and Vision
1.1. Management explained why change was 1
required 2
3
4
5
1.2. I understood how the changes will improve 1
business goal achievement 2
3
4
5
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2. Change Readiness Assessment
1.3. The end result that was envisaged was 1
clearly communicated 2
3
4
5
2. Change Strategy
2.1. It was clearly communicated who was 1
responsible for initiating the envisaged 2
3
changes 4
5
2.2. The roadmap showing the way to get to the 1
end result was clear 2
3
4
5
2.3. I believe that sufficient consideration was 1
given to different options to address the 2
3
need for change 4
5
2.4. The time provided for to implement the 1
change project was realistic (sufficient) 2
3
4
5
2.5. I believe the envisaged change was the right 1
solution, given the needs at the time 2
3
4
5
3. Change Leadership
3.1. It was clear who the people were, who 1
‘championed” the change efforts (the 2
3
sponsor, managers and others who were 4
assigned to manage the change) 5
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3. Change Readiness Assessment
3.2. These champions were able to inspire us to 1
support the change efforts 2
3
4
5
3.3. The champions were well trained and 1
understood what they needed to achieve in 2
3
the change effort 4
5
3.4. The change champions communicated 1
clearly about changes 2
3
4
5
3.5. The change champions provided us with the 1
means (training, role clarity) to function 2
3
optimally in the new situation 4
5
3.6. We trusted the change champions 1
2
3
4
5
3.7. During and following the change process our 1
leaders “walked the talk” – they were an 2
3
example to us 4
5
4. Empowerment Climate (answer by considering
that in terms of the changes you…)
4.1. Received sufficient information about the 1
changes (throughout) 2
3
4
5
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4. Change Readiness Assessment
4.2. You understood the content and relevance 1
of the communication 2
3
4
5
4.3. You received the training to participate 1
effectively in the change process 2
3
4
5
4.4. You were allowed to influence decision making 1
during the process 2
3
4
5
5. Enrolment (NB for the envisaged project…)
5.1. I don’t think these changes are required 1
2
3
4
5
5.2. It will be business as usual anyway 1
2
3
4
5
5.3. I don’t trust the organization to do the right 1
thing 2
3
4
5
5.4. I feel angry and betrayed 1
2
3
4
5
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5. Change Readiness Assessment
5.5. This project provides new career 1
opportunities 2
3
4
5
5.6. This project provides an opportunity to 1
learn new skills 2
3
4
5
5.7. I am excited about this project 1
2
3
4
5
5.8. This project will benefit us all 1
2
3
4
5
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6. Change Readiness Assessment
Score Result Sheet
Category Q. No. Topic Score
1.1
Case and Vision 1.2
1.3
2.1
2.2
Change Strategy 2.3
2.4
2.5
3.1
3.2
3.3
Change Leadership 3.4
3.5
3.6
3.7
Empowerment 4.1
Climate (answer by 4.2
4.3
considering that in
terms of the changes
you…)
4.4
5.1
5.2
Enrolment (NB for 5.3
the envisaged 5.4
project…) 5.5
5.6
5.7
5.8
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