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Change Implementation Survey

Identify where to spend your energy on your change project for successful execution.

Obstacle: this is a major problem; it could derail us
Challenge: we have not addressed this or have not yet been successful in our efforts
Okay: made progress, but this remains a concern
Good: We are in good shape; this is not a concern
Great: We have this completely taken care of

             
1. Clear direction defined through an energizing picture of the future
 
 
 
 Obstacle
 Challenge
Okay
Good
Great 
 


           
2. Need for change is clear, tension to change increased
 
 
 
 Obstacle
 Challenge
Okay
Good
Great 
 


           
3. Stakeholder interests are understood, resistance to change is identified & resolved
 
 
 
 Obstacle
 Challenge
Okay
Good
Great 
 


           
4. Communication channels created and filled with timely & relevant information; Stakeholders informed and prepared for change
 
 
 
 Obstacle
 Challenge
Okay
Good
Great 
 


           
5. Energy is created & momentum is maintained
 
 
 
 Obstacle
 Challenge
Okay
Good
Great 
 


           
6. Policies, processes, systems & structures are modified to support desired changes
 
 
 
 Obstacle
 Challenge
Okay
Good
Great 
 


           
7. The initiative is responsive to lessons learned & feedback
 
 
 
 Obstacle
 Challenge
Okay
Good
Great 
 


           
8. Champion & sponsorship for change is clear to all
 
 
 
 Obstacle
 Challenge
Okay
Good
Great 
 


           
             
         



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