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🏢 Business & Strategy

Free Team Psychological Safety Diagnostic Template

A team-level diagnostic on speak-up comfort, risk-taking, conflict openness, inclusion and mistake support — a how-teams-work check.

~10 min
5 weighted dimensions
AI PDF Report
AI Consultant
Live Preview

Quick answer

A team-level diagnostic on speak-up comfort, risk-taking, conflict openness, inclusion and mistake support — a how-teams-work check.

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About this template

Teams don't fail from disagreement; they fail from silence about it. This diagnostic asks every member to score the same five conditions — can people speak up, take risks, raise conflict, feel included and be supported after a mistake — and the AI report compares the spread of answers, not just the average. It is a team-workings self-report for discussion, not a clinical or individual performance instrument, and results should stay at team level.

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Template at a Glance

TemplateTeam Psychological Safety Diagnostic
CategoryBusiness & Strategy
FormatWeighted 1–5 assessment with personalized AI PDF report
Time to completeAbout 10 minutes per response
What you getA personalized AI report (printable PDF) per response, plus the raw answers
Best forTeam leads · HR and coaches · Agile teams
CostFree to copy and customize on FormLM
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What This Assessment Measures

Five dimensions, scored 1–5 and weighted into one result.

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Live Preview

Sample form and AI report preview — fill it in to see live scoring and the report.

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Fill it in to see how responses flow.
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Sample AI report with scoring visuals and recommendations, printable as a PDF.
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Scan the QR on the report to start an AI consultant chat.
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What's Included

Everything you need to run this template.

1

Five weighted dimensions

Speak-up comfort, Risk-taking, Conflict openness, Inclusion, Mistake support — each scored 1–5.

2

Weighted composite score

A defensible overall view that keeps dimensions separate.

3

Personalized AI PDF report

The weakest dimension, what it caps, and a prioritized fix list.

4

QR into an AI consultant chat

Every report links a chat trained on this topic for follow-ups.

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How It Works

From copy to deliverable in four steps.

1

Use This Template

Copy the assessment, scoring and report settings into your FormLM workspace — free.

2

Customize

Adjust dimensions and weights to match how your business runs.

3

Share and collect

Send the link or QR; each response is scored automatically.

4

Review and act

Open the personalized AI PDF report and share it with stakeholders.

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Who Is This For

Pick your role — see how it fits your workflow.

1

Team leads

See silence before it costs.

2

HR and coaches

Targeted team repair work.

3

Agile teams

A retro complement with data.

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Key Features

What makes this template work as a professional deliverable.

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Sample Questions Inside

A preview of real questions — the full version adds scoring and a personalized report per respondent.

  1. I can raise a problem here without social cost (1–5)
  2. Taking a visible, calculated risk feels safe (1–5)
  3. Disagreement gets discussed, then respected (1–5)
  4. Everyone's view shapes decisions, not just the confident ones (1–5)
  5. After a mistake, I get help rather than blame (1–5)
  6. When did you last stay silent about something important? (open)
  7. What would make speaking up a little safer here? (open)
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Frequently Asked Questions

What is psychological safety, in plain terms?
The shared belief that you can speak, question and err here without being punished or humiliated — the condition behind learning teams, drawn from well-known organizational research and adapted into this original five-dimension design.
Is this a clinical or HR assessment?
No. It is a team-level self-diagnostic for conversation and improvement, not a measure of individuals and not a mental-health instrument.
Should managers take the survey too?
Yes, but their results should be reported separately from the team's — averaging them together can hide the exact gap that matters.
Why does answer spread matter more than average?
A 3.8 average can hide a 4.8 vs 2.2 split by role or tenure; the AI report treats spread as the primary signal.
How often should teams run it?
Per quarter for active teams; after a trust event, run it once more to see whether repair actually happened.
Is it free to use?
Yes. Click Use This Template to copy the form, scoring and report configuration into your FormLM workspace for free, then customize and share it.
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Run the Team Psychological Safety Diagnostic this quarter

A 5-dimension scored check with a personalized AI report — free to copy and customize.