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Psychological Safety Survey Questions + Sample Questionnaire Template

Psychological safety survey template is created to evaluate the overall level of mental safety in the workplace. This sample survey can be deployed to the staff and asked for their responses towards psychological safety at work. This questionnaire is developed by experts and can be customized to suit the needs of an organization.

Psychological safety represents the extent to which an employee feels safe in the organization’s social climate. The way people perceive him/her, level of interaction, communication, interpersonal skills, willingness to mingle etc. constitute of psychological safety at the workplace.

Team learning behavior, outcomes, team members etc. are a part of this process. In this survey, there is a balanced mix of questions related to teamwork, team member interaction, the plausible outcome of the discussions and more.


1. Considering your complete experience regarding psychological safety with our company, how likely are you to recommend the company to your friend or colleague?
Very Unlikely
Very Likely
2. Please select the most appropriate answer option:
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
When you make a mistake it is pinned on you
You feel free to discuss issues with your team lead
I am rejected for being different
Risk taking is not appreciated in my team
Members in my team respect each other
Team’s progress is more important than individual’s progress
My team believes in communicating on chat than in person
Members in my team share information with me
My manager helps me in improving my performance at work
3. Please select your age group
4. Please select your gender
5. Please select your ethnicity
6. Please select your work experience with the organization 
7. Is there anything else you would like to add to improve psychological safety at workplace?

H2 First Text

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Need a longer questionnaire? Check out Exit Interview Questions (Long Template)