Version No: 0.0 Change Readiness Version Date: dd/mm/yyyy Project Number: Questionnaire Project Name:

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1. Save template under new name using common format; e.g. “Project Charter v0.1 (25 June 2014” 2. Unlock document; customise headers & footers to your project (see below for instructions) 3. If desired, modify format of this template to reflect needs of your project – add or delete fields as required 4. Lock the document by clicking on ‘Protect Document’ in the ‘Tools’ menu, then select ‘Forms:’ and click ‘OK’ 5. Ready for your content – enter information in form fields; space expands as you type

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Adapted and used with the permission of the Project Management Centre of Excellence, Government of Ontario

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About the Change Readiness Questionnaire

This questionnaire is ideally used at the beginning of the project, i.e., when the change project is just getting started. It is designed to give a quick snapshot of the organisation – how the levers are currently aligned. It produces a profile of the “change picture” of the organisation at a point in time, in the eyes of the people who answered the questions. Change sponsors, change agents, and even some champions, if available, should each fill out and score the questionnaire. It will take no more than 15 minutes. Then, they should share together their profiles in a group. They will gain two important results: By comparing their different profiles, they can share their assumptions and come to a common • agreement about the organisation’s and people’s readiness for change. They can agree where they will need to put their initial efforts and what pitfalls may emerge later down • the road.

This questionnaire can be repeated at different times during the change process as a way of monitoring how the levers change. You may wish to delete this box before re-locking your document.

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