Student Survey
1) I feel safe in all of my classes. *
2) I feel safe during Nutrition and Lunch. *
Yes
No
Nutrition
Lunch
3) I feel safe before and after school. *
Yes
No
Before school
After school
4) I have been hit or kicked by someone who intended to hurt me. *
5a) Mean rumors or lies have been spread about me through any of the following. Check all that apply *
Required
5b) If other is chosen, please explain.
6) During the school day, I have heard students use bad words, tell sexual jokes, or use inappropriate gestures. *
Never
1 Time
2 Times
3 Times or more
Profanity
Sexual Jokes
Inappropriate Gestures
7) I have been made fun of because of my: *
Never
1 Time
2 Times
3 Times or more
Looks
Clothes
How I speak
8) I have had my personal property damaged or stolen by another student. *
9) "Bullying" by definition, is an unwanted aggressive behavior, using physical strength or embarrassing information to control others. The behavior is repeated more than once. I have been "bullied" by another student. *
10) I have been a witness to someone else being "bullied." *
11) Students get along and respect one another. *
12) If I tell a teacher or a staff member, "I am being bullied", I believe he or she will help me. *
13) When I have a problem, there is someone I feel comfortable asking for help. Check all that apply *
Required
14) I don't feel safe at school during these times. Check all that apply *
Required
15) I don't feel safe in the following parts of campus. Check all that apply *
Required
16) I consider "Bullying" to be a problem at our school. *
17) I am proud to be a student at Holmes Middle School. *
Submit
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