Psychological Safety Survey

Anonymous · 12 items · 5-8 minutes

Your responses are anonymous. Individual answers will not be shared with your leader. Only aggregate team scores are reported. Your coach or HR partner — not your leader — administers and compiles results.

This survey measures your team's experience of psychological safety — whether this is an environment where you can speak honestly, raise concerns, acknowledge mistakes, and be seen as a whole person.

There are no right or wrong answers. Your honest response — including a low score — is the most useful contribution you can make. Respond based on your actual experience over the past 30 days.

WHAT YOU'LL RATE

Voice & Candor
Transparency & Honesty
Accountability & Standards
Relational Investment

RATING SCALE

1 = Never
2 = Rarely
3 = Sometimes
4 = Usually
5 = Always

Dimension 1 of 4 0 of 12 answered

FINAL QUESTIONS · OPTIONAL

Open Reflections

Anonymous. Your responses inform the coach's qualitative picture of team climate.

1. What would make it easier to speak honestly in this team?

2. Describe one moment in the past 30 days when you felt the team climate was at its best.

3. What is one thing your leader could do differently that would meaningfully improve psychological safety for you?

DIMENSION BREAKDOWN

Your coach will collect aggregate scores from all team members. Your individual responses are not shared. Thank you for completing this survey honestly.

COACH VIEW · AGGREGATE SCORING

Team Score Compilation

Enter average dimension scores from all completed team surveys. Minimum 3 respondents required before sharing results with leader.

Survey Round

Number of Respondents

Leader Name (internal)

ENTER AVERAGE TEAM SCORES PER DIMENSION (average each item 1-5, then multiply by 3 for the /15 subtotal)

Dimension

Item avg
(1-5)

×3

Score
/15

Rating

OPEN RESPONSE THEMES (compile from team qualitative responses)

What would make it easier to speak honestly? (recurring themes)

Positive climate moments (recurring themes)

What the leader could do differently (recurring themes)

SCORE INTERPRETATION QUICK REFERENCE

Administration rule: Do not share individual response data with the leader under any circumstances. If fewer than 3 team members completed the survey, report only banded ranges (Strong / Developing / Partial / Low) rather than precise scores to preserve anonymity.