Q01
Long Text
All templates
Psychological Safety & Belonging Assessment
Measures team-level psychological safety, belonging, and speak-up culture using Edmondson-informed items. Designed for HR and people teams seeking actionable insights to improve team dynamics.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
22 questions · ~4 min
Q02
Long Text
Overall, how safe do you feel expressing your honest opinions with your team?
Q03
Long Text
I feel like I truly belong on my team.
Q04
Multiple Choice
In the last 30 days, have you shared a new idea or concern at work?
Q05
AI Interview
Thinking about your experiences on your team, what would most help you feel safer speaking up, sharing ideas, or feeling like you belong?
Q06
Long Text
Which team do you primarily work with?
Q07
Long Text
What country or region do you primarily work from?
Q08
Long Text
Thank you for completing this survey. Your responses are anonymous and will be used in aggregate to help improve how our teams work together. If you have any concerns about this survey, please contact your People team.
Q09
Long Text
Members of my team are able to bring up problems and tough issues.
Q10
Long Text
I feel accepted for who I am by my team members.
Q11
Long Text
When you share ideas or concerns, how is your input typically received?
Q12
Long Text
Based on your responses in this survey, please share any additional thoughts or feelings about your team's culture, psychological safety, or belonging.
Q13
Long Text
How long have you been with the company?
Q14
Long Text
What is your age range?
Q15
Long Text
If I make a mistake on this team, it is not held against me.
Q16
Long Text
I feel comfortable raising issues or concerns directly with my manager.
Q17
Long Text
Which best describes your current role level?
Q18
Multiple Choice
How do you describe your gender? (Select all that apply)
Q19
Long Text
It is easy to ask other members of my team for help.
Q20
Multiple Choice
Where do you most often share ideas or concerns? (Select all that apply)
Q21
Long Text
What is your primary work arrangement?
Q22
Long Text
People on my team value and respect each other's contributions.
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.