This document is a report that examines the current landscape of generative AI adoption among business and IT leaders. It outlines the challenges these leaders face in determining the appropriate use cases for generative AI and the necessary steps for successful implementation. The report is based on a survey conducted with 201 senior decision-makers in the United States and Canada, revealing significant concerns regarding the lack of a common definition of generative AI across industries, uncertainty about investment costs, and the skills required for effective deployment. The findings indicate that while there is enthusiasm for generative AI, many leaders are seeking guidance from industry experts and peers who have practical experience with the technology. The report emphasizes the importance of real-world case studies to help decision-makers navigate the complexities of generative AI and make informed choices regarding its integration into their organizations.