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Report Bullying or Harassment
Bullying / harassment report form for students at Motueka High School
Your Name *
Your answer
Which MHS value best applies to this incident? *
Who is bullying or harassing you? *
Your answer
What happened? *
Your answer
What did you think / feel when it happened? *
Your answer
Do you feel safe to be at school? *
How has it affected you?
Your answer
What has been the worst of it for you?
Your answer
What do you need to make things right?
Your answer
What would you like to see happen now? *
Your answer
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