Faisst, U., & Resatsch, F. (2004). Measuring the performance of knowledge management initiatives. Diskussionspapier WI-135, Universität Augsburg. Augsburg.
This might be of interest although it does not mention questionnaire:
Siong Choy, C., Kuan Yew, W., & Lin, B. (2006). Criteria for measuring KM performance outcomes in organisations. Industrial Management & Data Systems, 106(7), 917-936.