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Workplace Climate & Psychological Safety Survey

Measures how safe, fair, and supported people feel in their day-to-day work — trust in leadership, psychological safety, workload fairness, and manager impact — for HR and people teams tracking team health between engagement cycles. An AI follow-up reconstructs the specific moment behind each person's rating instead of settling for a number on a dashboard.

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Sample questions

A preview of what’s in the template. Every question is editable before you launch.

10 questions · ~6 min
Q01
Message

Thanks for taking a few minutes to share what it actually feels like to work here day-to-day. Your answers are confidential and go into a report on team climate, not individual performance. About 5-6 minutes.

Q02
Opinion ScaleRequired

Overall, how would you rate the current climate on your team?

Scale: 0 – 10
Min:Toxic or stressfulMax:Supportive and energizing
Q03
MatrixRequired

How much do you agree with each statement about your day-to-day work environment?

5 rows × 5 columns
  • I feel safe raising concerns without fear of retaliation
  • Leaders in my department follow through on what they say they'll do
  • People here are treated fairly regardless of background
  • I can make a mistake without it being held against me long-term
  • Workload expectations are reasonable and clearly communicated
Columns: Strongly disagree · Disagree · Neutral · Agree · Strongly agree
Q04
Multiple ChoiceRequired

In the last 30 days, how often have you held back an opinion or concern in a meeting because you weren't sure it was safe to share?

  • Never
  • Once or twice
  • Several times
  • Almost every meeting
Q05
Ranking

Which of these would most improve the climate on your team? Rank from most to least impactful.

  1. More transparent communication from leadership
  2. Clearer performance expectations
  3. Less last-minute urgency or firefighting
  4. More recognition for good work
  5. Stronger accountability when problems arise
  6. More say in decisions that affect my work
Drag to rank
Q06
Rating ScaleRequired

How would you rate your direct manager's contribution to team climate?

Range: 1 – 5
Min:Undermines itMax:Strengthens it
Q07
AI Interview

Reconstruct the specific recent moment that most shaped this person's overall climate rating: what happened, who was involved, and how it made them feel. If they rated psychological safety low, get a concrete example of a time they held back and ask what would need to change for them to speak up next time. If their overall rating was high, probe exactly what leadership or teammates do that creates that feeling so it can be reinforced elsewhere. Push past vague answers like 'it's fine' or 'it's stressful' to a specific incident.

Q08
Multiple Choice

Which best describes your department or function? (Template note: replace with your organization's actual department list before launching.)

  • Engineering / Product
  • Sales / Business Development
  • Marketing
  • Operations
  • Customer Support
  • People / HR / Finance
  • Other
  • Prefer not to say
Q09
Multiple Choice

How long have you worked at this organization?

  • Less than 6 months
  • 6 months to 2 years
  • 2 to 5 years
  • More than 5 years
  • Prefer not to say
Q10
Message

That's everything — thank you for the honesty. Your responses are combined with your team's to spot patterns in climate and safety, and the details you shared help leadership act on specifics instead of guesses.

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

How it compares

We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.

Why this template

  • Includes a matrix of day-to-day agreement statements alongside single-item ratings, so you get both breadth (trust, fairness, manager impact) and a clean topline climate score
  • Pairs a manager-contribution rating with an AI follow-up interview that reconstructs the specific recent moment behind each person's rating, turning a number into a real story
  • Captures behavioral signal (how often someone held back an opinion in a meeting in the last 30 days) rather than relying only on attitudinal agreement questions
  • Ends with a ranking of what would most improve team climate, giving HR a prioritized action list instead of just a diagnostic score

QuestionPro

Employee Job Climate Evaluation Survey Template

A static, ready-to-field template focused on employee perceptions of job climate, built on QuestionPro's established survey infrastructure. It offers standard question types and reporting dashboards but no mechanism to probe individual responses further. Good for benchmarking scores across teams, less suited to understanding the 'why' behind any single rating.

What it does well

  • Purpose-built template for employee/job climate rather than a generic engagement survey
  • Backed by QuestionPro's mature survey platform with dashboard-style reporting
  • Likely supports standard question types (rating, multiple choice) for quick deployment

Where it falls short

  • Static question set with no adaptive AI follow-up to reconstruct the moment behind a low or high rating
  • No voice AI interview option or guided screen-share tasks
  • No published prompt-level methodology, so it's unclear how any qualitative follow-up (if present) is scored or analyzed

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

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