Cyberbullying Questionaire
This questionnaire is here to help you assess if you or a loved one may be experiencing cyberbullying. There is no right or wrong answer so answer any question to the best of your ability.

Note: We collect responses for research purposes, but do not ask for any private information. Thank you for helping us make our services even better.
1. Does online harassment/cyberbullying affect your daily life?
Clear selection
2. Has online harassment/cyberbullying you have experienced ever affected your relationships?
Clear selection
3. Has online harassment/cyberbullying you have experienced ever gone viral?
Clear selection
4. Have you ever said something on social media that was used out of context to harass you (bully you emotionally or physically)?
Clear selection
5. Has anyone made an inappropriate meme out of you and posted online?
Clear selection
6. Have you skipped school, work, or social gatherings due to online harassment/cyberbullying
Clear selection
7. Have your grades suffered or have you lost a job due to online harassment/cyberbullying?
Clear selection
8. Have you hurt yourself physically due to online harassment/cyberbullying?
Clear selection
9. Have you used drugs or alcohol to mask the pain of online harassment/cyberbullying?
Clear selection
10. Have you shared your experience with anyone?
Clear selection
Submit
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