Neuroception of Psychological Safety Scale

Directions: Please rate your answers on how you have been feeling the majority of the time over the past 2 weeks.

1=Strongly Disagree 2=Disagree 3=Neither Agree or Disagree 4=Agree 5=Strongly Agree

Once you hit submit, I will receive your form, evaluate the data, and share results with you via your email along with a few recommendations, if appropriate. If you feel more comfortable putting only your initials on this form, go ahead, however, this form is private (embedded) from others on this site at all times and responses will only be seen by me.

Kristin OTR/L SEP

Your responses are confidential and will only be shared with your OT. Answers are not a judge of character, they are simply an indication of how 'full your cup is" right now.