All templates

Warehouse Cobot Safety & Risk Perception Survey

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.

Sample questions

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

25 questions · ~11 min
Q01
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.

Q02
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
Q03
Opinion Scale

In the past 30 days, how safe have you felt working near cobots?

Scale: 17
Min:Very unsafeMax:Very safe
Q04
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
Q05
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
Q06
Ranking

Please rank your top 3 priorities for improving safety around cobots.

  1. More hands-on training time
  2. Slower speeds in shared zones
  3. Clearer floor markings and signage
  4. More predictable cobot routes
  5. Faster emergency stop response
  6. Better handover prompts and timing
  7. Improved visibility at corners
Drag to rank
Q07
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.

Q08
Long Text

Based on your responses throughout this survey, please share any additional thoughts or suggestions about working safely with cobots.

Q09
Multiple Choice

What is your primary role?

  • Picker/Packer
  • Material handler/Forklift
  • Technician/Maintenance
  • Team lead/Supervisor
  • Quality/Safety
  • Other
  • Prefer not to say
Q10
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.

Q11
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
Q12
Opinion Scale

How confident are you that current safety procedures adequately protect you when working near cobots?

Scale: 17
Min:Not at all confidentMax:Extremely confident
Q13
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
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

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
Q16
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
Q17
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
Q18
Opinion Scale

How concerned are you about a cobot making an unexpected movement near you?

Scale: 17
Min:Not at all concernedMax:Extremely concerned
Q19
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
Q20
Multiple Choice

Which shift do you mainly work?

  • Day
  • Evening
  • Night
  • Rotating/Varies
  • Prefer not to say
Q21
Opinion Scale

How concerned are you about limited visibility at corners or intersections where cobots operate?

Scale: 17
Min:Not at all concernedMax:Extremely concerned
Q22
Dropdown

What is your age?

  • Under 18
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q23
Opinion Scale

How concerned are you about a cobot's speed when it is moving through a shared zone?

Scale: 17
Min:Not at all concernedMax:Extremely concerned
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
Opinion Scale

How concerned are you about timing and coordination during task handovers with a cobot?

Scale: 17
Min:Not at all concernedMax:Extremely concerned

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.

Ready to launch?

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