2016-2017 Student Bullying Survey
Directions:
You will find questions in this survey about your life at school. Please choose the most honest answer. Please note that there is no place for your name; this survey is completely anonymous.
1. Are you male or female?
2. Do you like school?
3. How many good friends do you have in school?
4. How often have you been bullied, on average, while at school (actual, not hearsay)?
5. I have been called mean names, have been made fun of, or teased in a harmful way (actual, not hearsay)
6. Other students have left me out of things on purpose, excluded me from their group of friends, or have completely ignored me
7. I have been hit, kicked, pushed, shoved around, or physically bullied in some way while at school.
8. Other students have told lies or have spread false rumors about me and have tried to make other students dislike me.
9. I have had money or other things taken away from me or damaged.
10. I have been threatened or forced to do things that I did not want to do.
11. I have been bullied with mean names or comments about my race or color.
12. I have been bullied with mean names or comments, or gestures about my sexuality preference or with some sexual meaning.
13. I have been bullied by someone using a cellphone.
14. I have been bullied by someone using the internet.
15. I have been bullied by __________ student(s).
16. I have been bullied by________.
17. The bullying against me lasted....
18. I have been bullied on the bus, at the bus stop, on my way to or from the bus stop.
19. I have been bullied in the hallway.
20. I have been bullied in the classroom.
21. I have been bullied in the locker room or gym
22. I have been bullied in the cafeteria.
23. I have been bullied in the bathroom.
24. Have you told anyone that you have been bullied in the past couple of months?
25. How often do you see teachers or other adults at school try to put a stop to students being bullied?
26. How often do you see other students at school try to put a stop to bullying?
27. What do you think or feel when you see a fellow student being bullied at school?
28. How often have you taken part in bullying?
29. I have called a student(s) mean names or teased him or her in a hurtful way.
30. I have purposely excluded or ignored another student.
31. I have hit, kicked, pushed, shoved, or thrown things at another student
32. I took money/other things from another student or intentionally damaged another student's property.
33. I have threatened or forced another student to do something that he or she didn't want to do
34. I have bullied another student because of their race or color
35. I have bullied another student with mean names, comments, or gestures with a sexual meaning.
36. I have bullied other students using...
37. I have bullied other students in person (face to face)
38. I have bullied someone using a cell phone (voice or text)
39. I have bullied someone using the internet (social media)
40. Would you join in on bullying another student?
41. How often are you afraid of being bullied at school?
42. This year bullying has
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