Name: Municipal World E-Mail ID:
Country Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzegovina Botswana Bouvet Island Brazil Brit Ind Ocean Territory Brunei Darussalm Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Caymen Islands Central African Rep. Chad Chile China Christmas Islands Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Dem Rep. of Korea Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France France Metropolitan French Guiana French Polynesia French So. Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadaloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Heard McDonald Island Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (South Korea) Kuwait Kyrgyzstan Laos Lativa Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Madagascar Malawi Malaysia Maldives Mali Malta Mariana Islands Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherland Antilles Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Island Norfolk Island Northern Mariana Island Norway Oman Pacific Islands Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Republic of Korea Reunion Romania Russian Federation Rwanda S Georgia & Sandwich Saint Pierre & Miquelon Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierre Leone Singapore Slovakia Slovenia Solomon Islands Somali Republic South Africa South Korea Spain Sri Lanka St. Helena St. Kitts-Nevis St. Lucia St. Vincent/Grenadines Sudan Suriname Svalbard & Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania Thailand Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Tuvalu United States Uganda Ukraine United Arab Emirates United Kingdom Uruguay US Minor Outlying Is. Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands: British Virgin Islands: US Wallis & Futuna Islands Western Sahara Western Samoa Yemen Yugoslavia Zaire Zambia Zimbabwe (Click here to choose)
CEO/President/Owner/General Manager Vice President/Assistant Vice President Treasurer/Controller/Chief Financial Officer Director/Assistant Director/Section Head Manager/Assistant Manager Supervisor/Assistant Supervisor Administrative Support/Clerical Other
How this survey is intended to work... Think of a Change Project in which you were involved - one you remember very well and that came to completion. All of the questions in the survey will relate to that specific Change Project. If you have the time... it would be very useful if you could fill this survey out twice... once for a 'failed' project and again for a successful project. I am obviously seeking the key difference between these two types of results. 4. General Consensus on the success/failure of this Change Project
Everyone agrees the project was Successful Most people agree it was a Success Too close to call Most people agree it was a Failure Everyone agrees the project was a Failure (Click here to choose)
5. Describe the three most important measurements everyone used to come to this conclusion. (if no measurements were used... leave the responses blank)
Measure #1 Measure #2 Measure #3
It was Successful It was mostly Successful Too close to call It was a partial Failure It was a total Failure (Click here to choose)
7. Describe the three most important measurements MANAGEMENT used to come to this conclusion. (if no measurements were used... leave the responses blank)
Business firm Professional firm/practice Self-employed in own business Private school, hospital or other private institution Local, state or federal government Other
10. Which of the following best describes the organization's primary business?
Agriculture Construction Finance, Insurance, Real Estate Government Health Care Manufacturing Mining Retail Services Transportation Communications Utilities Wholesale Nonprofit Other
11. What part of the organization was most affected by the Change?
General Management Organizational Structure Sales Marketing Manufacturing Research & Development IT Department Human Resources Training and Education Production Customer Service Purchasing Finance/Accounting Other
12. Approximately how many people were affected by this change?
<25 25-50 50-100 100-200 200-500 500-1000 1000-2000 >2000 (Click here to choose)
13. Duration of Change - from start to finish.
How many months? (required)
Activity #1 Activity #2 Activity #3
The Change Owner, Change Agent and Target Audience were the same person/group. The Change Owner and Change Agent were the same person/group. The Change Owner and Target Audience were the same person/group The Change Agent and Target Audience were the same person/group The Change Owner, Change Agent and Target Audience were different person/groups.
Since it is the Target Audience which must embrace the Change in order for any Change Project to succeed, the next set of questions is focused on their perspective of the project. 20. Target Audience Reactions
Strongly Agree Agree Neutral Disagree Strongly Disagree They could describe the reason for the proposed Change They agreed with the reason for the proposed Change They were involved with defining the Change necessary They felt comfortable raising concerns regarding the Change They believed the Change benefited everyone not only the company They understood in detail what Changes would take place They understood in detail what would remain the same during the Change There was an open and honest dialogue between themselves and the Change Agent They had the full support of the Change Owner throughout the Change They trusted the messages and information communicated by the Change Agent Enough time was allocated to assimilate the Change They had the skills necessary to implement the Change They were provided with the training necessary to implement the Change
Yes Please. No Thanks.
23. There will be a series of prizes presented at random for people who took the time to fill this survey. If you are selected, would you prefer a:
Digital Camera USB Storage Key IPod
24. Your final opportunity to comment on this Change survey. Anything big that I missed? Anything else to add? While there are lots of questions I could have asked... several of these were essay questions and I wanted to limit the amount of time it would take to fill out.