Survey Templates Employee Evaluation Surveys Psychological Safety Survey Questions + Sample Questionnaire Template

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.

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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	Strongly disagree	Disagree	Neutral	Agree	Strongly agree

You feel free to discuss issues with your team lead	Strongly disagree	Disagree	Neutral	Agree	Strongly agree

I am rejected for being different	Strongly disagree	Disagree	Neutral	Agree	Strongly agree

Risk taking is not appreciated in my team	Strongly disagree	Disagree	Neutral	Agree	Strongly agree

Members in my team respect each other	Strongly disagree	Disagree	Neutral	Agree	Strongly agree

Team’s progress is more important than individual’s progress	Strongly disagree	Disagree	Neutral	Agree	Strongly agree

My team believes in communicating on chat than in person	Strongly disagree	Disagree	Neutral	Agree	Strongly agree

Members in my team share information with me	Strongly disagree	Disagree	Neutral	Agree	Strongly agree

My manager helps me in improving my performance at work	Strongly disagree	Disagree	Neutral	Agree	Strongly agree

3. Please select your age group

18-24

25-34

35-44

45-54

55-64

Above 64

4. Please select your gender

Male

Female

Prefer not to say

5. Please select your ethnicity

Hispanic or Latino

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

Caucasian or White

Multiracial

Other

Prefer not to say

6. Please select your work experience with the organization

Less than 6 months

6 months- 1 year

1-3 years

3-5 years

5-7 years

7-9 years

More than 9 years

7. Is there anything else you would like to add to improve psychological safety at workplace?

use this free template

Psychological Safety Survey Questions + Sample Questionnaire Template

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