Organizational Risk & Recovery Navigator
Date
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Month
-
Day
Year
Date
Organization Name
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Name
*
First Name
Last Name
Email
*
example@example.com
Your Role
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How long have you been in this role?
*
Please Select
0-3 years
3.1- 6 years
6.1- 10 years
10+ years
Change Engagement: Root Cause Analysis
How many changes have you experienced at work within the last two years?
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1-3
4-6
Too many to count!
From your perspective, in what area(s) are you and your team experiencing the most challenge? You can choose up to 3 areas.
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Culture and Community
Leadership and Management
Business Infrastructure: Systems, Policies, and Processes
Teaming and Collaboration
Learning and Development
The Pace and Amount of Change
Motivation and Perseverance
Staff Capacity and Productivity
Communication and Information Sharing
Other
In your own words, describe challenge #1.
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Provide an example.
In your own words, describe challenge #2.
*
Provide an example.
In your own words, describe challenge #3.
Provide an example.
On the scale below, rate how are you feeling about the current climate and culture at work. 1= Very negative, 2= Bad, 3=Typical work environment, 4= Better than average, 5= Great!
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Very negative
1
2
3
4
Great!
5
1 is Very negative, 5 is Great!
Readiness, Engagement, and Capacity for Responding to Challenge: I believe...
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Rows
Yes
Not Sure
No
I am equipped to manage to the challenges being experienced at this time.
I have the supports I need psychologically and professionally to navigate through the pressures of change and challenge.
People here are working towards the same vision, mission, and outcome.
People here are committed to their work and are doing the best they can.
People that work here are competent and skilled to complete their responsibilities effectively.
As a team, we can find a way to meet our goals and deliverables satisfactorily.
We have the tools and resources needed to achieve our goals.
Our managers and leaders have our best interest in mind.
Our managers and leaders can and will support us through the challenges presented.
Our managers and leaders can manage the politics associated with the changes that come down the pipeline.
Our managers and leaders value the advocacy and input of the team.
Our managers and leaders are able to make timely and impactful decisions that move us forward towards our goals.
Change Readiness and Engagement: Social Emotional Competency Scale
In this section, let's talk about emotional intelligence. Answer honestly and in the context of the experiences you are having in the workplace now.
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Rows
Yes
No
Sometimes
Additional information
I have a good understanding of my emotions.
I recognize when I am emotionally triggered.
I am capable of controlling my emotions in the workplace.
I can explain why I feel the way I do about most things.
I am a good observer of other's emotions.
I am sensitive to the feelings and emotions of others.
I recognize the impact of my language, responses, and behaviors on others.
I am self- motivating.
I am able to control my temper when I experience difficulties and challenge.
I seek to resolve situations with my colleagues rationally.
I set goals for myself and try my best to achieve them.
I acknowledge and seek out help when needed.
I am receptive to the feedback of others in relation to my behavior.
I have coping methods to manage stress effectively.
I withdraw when overwhelmed and it takes a little while for me to re-engage with others.
Preparing for Our Work Together
We will have two in-person learning opportunities. What topics are you most interested in learning more about? Note that there will be support and follow up after each workshop.
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Managing emotions in the midst of Complex and Constant Change
Communication Tools
Effective Teaming
Conflict Resolution
Organizational-ability (time management, prioritization, etc.)
Other
You will also have access to 1:1 time with the Coach through monthly virtual office hours. How likely are you to take advantage of this time?
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Very unlikely
1
2
3
4
Very likely/ Definitely!
5
1 is Very unlikely, 5 is Very likely/ Definitely!
Do you commit to implementing the strategies provided?
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Yes
No
Is there anything else that you would like to share?
This can be anything!
Thank you for completing!
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