Six dimensions of team psychological safety scored by members, with an AI report showing where speaking up feels risky and which role holds the silence.
Quick answer
Six dimensions of team psychological safety scored by members, with an AI report showing where speaking up feels risky and which role holds the silence.
Teams do not lack ideas; they lack people willing to spend social capital on them. This instrument scores the six recognised safety dimensions - speaking up, admitting mistakes, asking for help, challenging the decision, being different and taking risk - then compares individual responses to the team mean. The report shows which dimension is the constraint and where the gap between leaders and members is widest.
| Template | Team Psychological Safety Assessment |
|---|---|
| Category | Coaching & Consulting |
| Format | Weighted 1-5 assessment with personalized AI PDF report |
| Time to complete | About 10 minutes per response |
| What you get | A personalized AI report (printable PDF) per response, plus an AI consultant chat reached from the report QR |
| Best for | Team and leadership coaches · HR and people leads · New managers |
| Cost | Free to copy and customize on FormLM |
Sample form and AI report preview (fillable once the app is published).
What you get when you copy this template.
Speak up, mistake, help, challenge, difference, risk.
Each response shown against the average.
Leader and member views side by side.
The one dimension limiting the rest.
Four steps from copy to a usable result.
Eighteen items, five minutes.
Means and spread, not named answers.
The dimension that scores lowest consistently.
The report suggests the specific practice.
Where this fits in a coaching practice.
Diagnose performance issues that are actually safety issues.
Benchmark across teams safely.
Learn what their team is not saying.
What makes it work as a professional deliverable.
Real items from the template - the live version scores each response and writes a personalized AI report.