JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Bullying Reporting Form
Please complete the following questions to report bullying at Lewis Cass High School.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Name (Optional)
Your answer
Who is being targeted? (bullied)
*
Your answer
How is the target being bullied?
*
Your answer
Who is the perpetrator (bully)?
*
Your answer
When and where did this bullying take place?
*
Your answer
Has the bullying happened before?
*
Yes
No
Who else saw or heard this happen?
*
Your answer
What type of bullying is taking place?
*
Physical
Verbal
Social/Relational
Written/Electronic Communication
Required
Is this the first time the bullying behavior has been reported
*
No
Yes
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lewis Cass Schools.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report