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 *
Submit
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