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Anti bullying survey
Termly anti-bullying survey
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* Indicates required question
Date:
*
MM
/
DD
/
YYYY
Your name
*
Your answer
Teacher name
*
Your answer
Class
*
2nd
3rd
4th
5th
6th
Required
Do you know anyone who people are being mean to?
*
Click up to 2 answers. Write the name of who people are being mean to where it says 'Other ...'
Yes, myself
Yes, someone I know
No, I don't know of anyone that people are mean to.
Other:
Required
Write down who is being mean ...
Your answer
What sort of things have been happening?
Saying mean things
Writing mean things somewhere
Hurting people
Messing with people's stuff
Making someone feel bad in front of others
Other:
Write down who you think could have seen or heard what has been happening ...
Your answer
What I have said today is true:
*
Yes
Required
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