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Grade 6- Bullying Awareness Survey
* Indicates required question
What is your definition of bullying?
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Your answer
Describe the various types of bullying that exist
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Your answer
Have you ever been bullied before?
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Yes
No
Maybe
Have you ever witnessed a friend or peer being bullied?
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Yes
No
If you have observed bullying at school, or if you have been bullied, please use the space below to describe what you have seen or experienced (without using anyone's name)
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Your answer
How many times have you been bullied?
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1-3 times
4-6 times
More than 7 times
Not at all
If you were bullied, did you report the bullying to an adult?
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Yes
No
Not applicable
Why might some students be scared to report an incident of bullying?
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Your answer
Where have you witnessed bullying?
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Classroom
Locker room
Bathroom
Recess
Hallway
Library
Cafeteria
Outside of the classroom
Required
The teachers at our school try to reduce bullying
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Agree
Disagree
Unsure
Do you feel safe in our school?
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Yes
No
Sometimes
Unsure
What should the teachers/administration be aware of with regards to bullying in our community?
Your answer
What steps can be taken to prevent bullying from happening?
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Your answer
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