Measures warehouse workers' safety perceptions, incident exposure, training adequacy, and improvement priorities related to collaborative robots. Designed for operations and safety teams managing human-cobot work environments.
What's Included
AI-Powered Questions
Intelligent follow-up questions based on responses
Automated Analysis
Real-time sentiment and insight detection
Smart Distribution
Target the right audience automatically
Detailed Reports
Comprehensive insights and recommendations
Template Overview
25
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
Sample Survey Items
Q1
Chat Message
Welcome to the Warehouse Cobot Safety Survey.
This survey collects your feedback on working safely alongside collaborative robots (cobots). Your participation is voluntary, and you may stop at any time. There are no right or wrong answers — we want your honest experience.
All responses are anonymous and will be reported only in aggregate to improve workplace safety. The survey takes approximately 5–7 minutes.
Q2
Multiple Choice
Which best describes collaborative robot (cobot) use at your facility today?
No cobots in this facility
Piloting or limited trial only
Used in several areas
Used across most areas
Q3
Dropdown
In a typical week, how often do you work near a cobot?
Never
Less than weekly
1–2 days per week
3–5 days per week
Daily (most shifts)
Continuously during shifts
Q4
Multiple Choice
Which tasks do cobots assist with in your area? Select all that apply.
Picking or put-wall
Packing or kitting
Palletizing/depalletizing
Mobile transport (AMRs/tuggers)
Sortation
Quality or safety checks
Replenishment
None of these
Q5
Opinion Scale
In the past 30 days, how safe have you felt working near cobots?
Range: 1 – 7
Min: Very unsafeMid: NeutralMax: Very safe
Q6
Opinion Scale
How confident are you that current safety procedures adequately protect you when working near cobots?
Range: 1 – 7
Min: Not at all confidentMid: NeutralMax: Extremely confident
Q7
Opinion Scale
How concerned are you about a cobot making an unexpected movement near you?
Range: 1 – 7
Min: Not at all concernedMid: NeutralMax: Extremely concerned
Q8
Opinion Scale
How concerned are you about limited visibility at corners or intersections where cobots operate?
Range: 1 – 7
Min: Not at all concernedMid: NeutralMax: Extremely concerned
Q9
Opinion Scale
How concerned are you about a cobot's speed when it is moving through a shared zone?
Range: 1 – 7
Min: Not at all concernedMid: NeutralMax: Extremely concerned
Q10
Opinion Scale
How concerned are you about timing and coordination during task handovers with a cobot?
Range: 1 – 7
Min: Not at all concernedMid: NeutralMax: Extremely concerned
Q11
Multiple Choice
In the last 6 months, have you personally experienced or directly witnessed any safety incident involving a cobot?
No incidents
Near miss (no contact)
Minor contact, no injury
Injury requiring first aid
Injury requiring medical attention
Prefer not to say
Not applicable
Q12
Multiple Choice
If you experienced or witnessed an incident, how was it handled?
Formally reported through the safety system
Addressed informally on the floor
Not reported
No incident occurred
Q13
Multiple Choice
In the last 12 months, which cobot safety training have you received? Select all that apply.
Intro safety briefing
Hands-on operation with a supervisor
Refresher/update session
Emergency stop and lockout drills
Digital or e-learning module
None
Not sure
Q14
Multiple Choice
How well does current cobot-related training meet your needs?
Fully meets my needs
Mostly meets my needs
Partly meets my needs
Does not meet my needs
No training received
Q15
Multiple Choice
Which safety features are currently active in your work area? Select all that apply.
Speed/force limiting
Accessible emergency stop buttons
Visual beacons or floor lights
Audible alerts
Virtual fences or safe zones (no hard guarding)
Remote pause/stop capability
Interlocked guarding
Not sure
Q16
Ranking
Please rank your top 3 priorities for improving safety around cobots.
Drag to order (top = most important)
More hands-on training time
Slower speeds in shared zones
Clearer floor markings and signage
More predictable cobot routes
Faster emergency stop response
Better handover prompts and timing
Improved visibility at corners
Q17
Multiple Choice
What minimum distance would you prefer between you and a moving cobot in shared aisles?
Less than 1 meter
1–2 meters
2–3 meters
More than 3 meters
No preference
Q18
AI Interview
We'd like to understand your cobot safety experience in more depth. An AI moderator will ask a few short follow-up questions based on your earlier responses.
AI InterviewLength: 3Personality: [Object Object]Mode: Fast
Reference questions: 6
Q19
Long Text
Based on your responses throughout this survey, please share any additional thoughts or suggestions about working safely with cobots.
Max chars
Q20
Multiple Choice
What is your primary role?
Picker/Packer
Material handler/Forklift
Technician/Maintenance
Team lead/Supervisor
Quality/Safety
Other
Prefer not to say
Q21
Dropdown
How long have you worked at this site?
Less than 3 months
3–11 months
1–2 years
3–5 years
More than 5 years
Prefer not to say
Q22
Multiple Choice
Which shift do you mainly work?
Day
Evening
Night
Rotating/Varies
Prefer not to say
Q23
Dropdown
What is your age?
Under 18
18–24
25–34
35–44
45–54
55–64
65 or older
Prefer not to say
Q24
Dropdown
In which region is your primary work site located?
North America
South America
Europe
Middle East
Africa
Asia
Oceania
Prefer not to say
Q25
Chat Message
Thank you for completing the survey! Your feedback will be used to improve cobot safety practices and training at your facility. All responses are anonymous and reported in aggregate.
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