Getting Ready for [Change Name]
Tell us how you feel about [brief description of the planned change]. Your feedback will help us understand what support is needed.
How much do you know about this change?*
Choose the option that best fits what you know today.
How clear is the reason for this change?*
Rate how well you understand why the change is happening: 1 = Not at all clear; 5 = Very clear.
How do you expect this change to affect your day-to-day activities?*
Choose the option that best reflects your expectations.
What would help you prepare?*
Select all that apply. If you choose “No extra support needed,” select only that option.
How confident are you that you can adjust to this change?*
Think about what you know and the support available: 1 = Not at all confident; 5 = Very confident.
What is your biggest concern about this change?*
Choose the concern that matters most to you right now.
How willing are you to try the new approach?*
Focus on your willingness, even if you still need support: 1 = Not at all willing; 5 = Very willing.
How ready are you for the change to begin?*
Choose the option that best describes how you feel today.
What is one thing that would help you feel more ready?
Share a practical suggestion, question, or concern we should consider.
Thank you for taking a part in this survey.