survey form I. Company and Industry Risk Profile 1. Industry Identification: What industry does your organization belong to? [pick list]* Select Options Financial Services Healthcare and Life Sciences Manufacturing Information Technology and Software Retail and Consumer Goods Government and Public Administration Energy and Utilities Transportation and Logistics Education Construction and Real Estate Media and Entertainment Hospitality and Tourism 2. Company Size: Small (1-50 employees) Medium (51-200 employees) Large (201-500 employees) Enterprise (500+ employees) What is the size of your company?* 3. Public Entity Status: Yes No Is your organization a public entity subject to SEC regulations?* 4. Data Sensitivity: Yes No Do you maintain private or sensitive consumer or business data?* 5. Regulatory Environment: Yes No Is your organization or its clients subject to any regulatory environments? If yes, who are your primary government regulators? (Please specify) 6. AI Priority in Industry: 1 - Not a priority 2 3 4 5 - One of the top priorities Within your industry and what you know about your competitors, is AI implementation a priority?* 7. AI Objectives: What are your company’s primary objectives for implementing AI? (Select all that apply)* Select Options Accelerate the Sales Cycle Improve Customer Experience Bring Products/Services to Market Faster Enhance Internal Operational Efficiencies Drive Innovation and Competitive Advantage *Required II. Strategic Awareness and Alignment 8. Alignment with Strategic Priorities: Not aligned Somewhat aligned Well aligned Fully aligned and integral to the strategy How aligned is your organization’s understanding of AI with your overall organizational priorities, values, and incentives?* 9. Leadership Communication: Rarely Occasionally Frequently Always Does your leadership team have regular communications about priorities and progress of AI across the organization?* 10. Dedicated Leadership Roles: Yes No Are there dedicated leadership roles within your organization specifically for Responsible AI oversight and decision-making?* *Required III. Deployment Readiness and ROI Decision-Making 11. State of AI Implementation: Early consideration Planning stage Pilot projects Limited implementation Extensive implementation In production What is the current state of AI implementation within your organization?* 12. Formal Framework for AI Oversight: None in place yet Under consideration AI software application standards in place Policies and governance in place Both software standards and policies Do you have a formal framework in place for AI oversight and governance?* 13. Tracking and Updates: No tracking system in place Basic tracking with manual updates Automated tracking but needs improvement Robust, real-time tracking and reporting system Do you have a tracking system for AI activities and outcomes?* *Required IV. Crisis Management and Remedy Protocols 14. Alert and Risk Systems: No processes in place Basic alert system, not fully reliable Effective alert system with room for improvement Robust and reliable alert system for real-time issue management Do you have alert and risk management systems in place for AI-related issues?* 15. Crisis Response Confidence: Not confident Somewhat confident Confident, but with identified gaps Fully confident with tested contingency plans How confident are you in your organization’s ability to respond to AI-related crises?* *Required V. Thank You and Next Steps Thank You for Your Participation: Thank you for taking the time to complete our AI Readiness Survey. Your insights are invaluable in helping us understand how organizations like yours are preparing for AI adoption. Free Heatmap Report Offer: As a token of our appreciation, we would like to offer you a free heatmap report that analyzes your AI deployment readiness compared to industry benchmarks. This report will highlight key areas of strength and opportunities for improvement in your AI strategy. If you are interested in receiving this personalized report, please provide your contact information below: Company Name: Name* Title* Email* Phone (optional): *Required
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