Change Request Readiness & Stakeholder Impact Survey

Thanks for taking a few minutes on this! Your responses are completely confidential and anonymized. We'd like your honest take on (Replace with the name/description of the proposed change request) — including what's confusing, what's risky, and what would help you adopt it. About 5-6 minutes. (Template note: replace all bracketed placeholders with your specific change request before sending.)

Which best describes your current awareness of (Replace with name of proposed change request)?

• I haven't heard of it
• I've heard about it but don't know the details
• I understand the basics
• I understand it in detail, including how it affects my role

How clearly has the reason for this change been communicated to you?

How much do you agree with each statement about this change request?

If this change request were approved and rolled out today, how ready is your team to adopt it?

What's the single biggest risk or concern you have about this change request?

• Impact on my day-to-day workload
• Lack of clarity on the end goal
• Insufficient training or support
• The timeline is too aggressive
• Effect on team roles or headcount
• (Replace with another concern specific to your change request)
• I don't have a concern

You have 100 points to allocate. Split them across the types of support below based on what would most help you adopt this change successfully.

• Clearer communication about why this change is happening
• Hands-on training on the new process or tool
• More time before the change takes effect
• Visible sponsorship from leadership
• Extra staffing or resources during the transition

How likely are you to actively support this change with your team or colleagues, rather than just tolerate it?

Explore the respondent's single biggest concern about this change request in depth: what specifically worries them, what evidence or reassurance would ease it, and whether a past change at this organization is shaping their reaction. If they said they have no concerns, probe what would move them from passive acceptance to being an active champion. If their support rating was low, ask the one thing that would raise it.

Which team or department are you part of?

• (Replace with department A)
• (Replace with department B)
• (Replace with department C)
• Prefer not to say

How long have you been with the organization?

• Less than 1 year
• 1-3 years
• 4-7 years
• 8+ years
• Prefer not to say

Thanks for your candid feedback! We'll use these responses to refine the rollout plan, address the biggest concerns first, and target training and communication where they're needed most.