Government AI Readiness Assessment Survey Form
Assess your organization’s current AI readiness, governance, infrastructure, and capability gaps. Please use the exact title consistently throughout the form.
Organization Profile
Organization Name
*
Government Level / Jurisdiction
*
Please Select
National
State/Provincial
Municipal
Agency/Department
Other
Current AI Usage and Governance
Current AI usage stage
*
Not using AI
Exploring AI
Piloting AI
In limited production use
Scaled across multiple functions
Organization-wide adoption
Other
Primary AI use cases planned or in use
Document drafting and summarization
Data analysis and reporting
Customer or citizen support
Process automation
Knowledge search and retrieval
Translation or language services
Fraud or risk detection
Forecasting and planning
Other
Is there an AI governance owner or team?
*
Yes
No
Readiness Assessment Matrix
Data quality and availability
*
Rows
Not ready
Limited
Developing
Mostly ready
Fully ready
Current status
1
2
3
4
5
Policy and governance
*
Rows
Not ready
Limited
Developing
Mostly ready
Fully ready
Current status
6
7
8
9
10
Technical infrastructure
*
Rows
Not ready
Limited
Developing
Mostly ready
Fully ready
Current status
11
12
13
14
15
Staff skills and change management
*
Rows
Not ready
Limited
Developing
Mostly ready
Fully ready
Current status
16
17
18
19
20
Priority and Follow-up
Top Priority AI Initiative or Challenge
*
Preferred Follow-up Support or Timeline
*
Please Select
Follow up within 1 week
Follow up within 2 weeks
Follow up within 1 month
Schedule a consultation
Provide written guidance only
Other
Submit Assessment
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