Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Student cyberbullying survey
Dear Students:
Thank you for taking this short survey. The results will provide valuable information about cyberbullying among EPTS students. This questionnaire does not ask for your name, so you should be as honest as possible in your responses.
Taking this survey is voluntary. We appreciate your time and help.
Thank you.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What age are you now?
*
Choose
11
12
13
14
15
16
17
18
Are you a boy or a girl?
*
Choose
Girl
Boy
What do you think cyberbullying includes? (You can choose as many of the options that you think are correct).
*
When one student bullies another student on the Internet.
When you send mean text messages or pictures to another student.
When you call another student names online.
When you use a student's phone to ge them into trouble.
When you pretend to be another student online.
Other:
Required
Have you ever been cyberbullied?
*
Choose
Yes
No
Not sure
If you answered Yes to the last question, please describe what happened.
Your answer
If you have been cyberbullied, did you report it?
Choose
Yes
No
If you have been cyberbullied, who did you report it to?
Your answer
Has someone you know ever been cyberbullied?
*
Choose
Yes
No
Not sure
How often do you think cyberbullying happens?
*
It happens all the time.
It happens too often, but not all the time.
It happens sometimes.
It hardly ever happens.
It never happens.
Please choose all of the answers that you agree with.
*
I don't know what cyberbullying is.
Cyberbullying is not a big deal.
Friends of mine have been cyberbullied.
I have cyberbullied other people.
I have said nasty things to others online, but don't think it was cyberbullying.
Others have said mean things to or about me online, but I don't think it was cyberbullying.
Required
Have you ever shared pictures or information of someone else without their permission?
*
Yes
No
Maybe
Have you ever used a friend's phone or password without them knowing?
*
Yes
No
Maybe
Have you ever teased or said something bad to someone online?
*
Yes
No
Maybe
What can your teachers do to help stop cyberbullying?
*
Your answer
What can your parents do to help stop cyberbullying?
*
Your answer
Do you have any other thoughts about cyberbullying?
*
Your answer
Is there anything that you think adults should know about cyberbullying that they don't know? Your thoughts on this would be very helpful.
*
Your answer
Thank you for completing this questionnaire.
Please remember, if you are being bullied or threatened, please tell someone at your school immediately, whether a teacher or someone else you trust.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Patumwan Demonstration School.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report