Upstander Community Survey
The Tyler Clementi Foundation's mission is to end online and offline bullying in schools, workplaces, and faith communities.
The purpose of this anonymous survey is to learn more about you, how you became engaged/interested in our work, and how we can better support you and your community.
Your feedback will be confidential and instrumental in improving our bullying prevention programs to meet the diverse needs of our Upstander community.
Tell us more about you.
What is your gender identity? Check all that apply and/or input response in "other".
Female or Woman
Male or Man
Person of Trans experience
Genderqueer or gender fluid
Prefer not to say
What is your race or ethnicity? Check all that apply and/or input response in "other".
Black or African American
White or European/Caucasian
Hispanic or Latino/x
Native American or Indigenous
Asian or Pacific Islander
Multiracial or Multiethnic
Prefer not to say
What is your sexual orientation? Check all that apply and/or input response in "other".
Questioning or unsure
Prefer not to say
How old are you?
Under 12 years old
12-17 years old
18-24 years old
25-34 years old
35-44 years old
45-54 years old
55-64 years old
65-74 years old
75 years or older
What state do you live in?
Outside of the USA
Are you employed? Check all that apply and/or input response in "other".
Not currently employed or unable to work
Full time parent/guardian/caregiver
Employed at a non-profit organization
Employed at a small business
Employed at a K-12 school
Employed at a university or college
Employed at a corporation or company
Employed at a government agency
Tell us more about how you became engaged with the Tyler Clementi Foundation and how we can support you in your efforts.
How did you find out about the Tyler Clementi Foundation? Check all that apply and/or input response in "other".
Social media (Facebook, Twitter, Instagram, etc.)
Word of mouth from a friend, family or colleague
Searching for bullying education/prevention programs
Have you experienced, witnessed or engaged in bullying behavior? If not, what is your experience to bullying? Please share.
How can we support you in preventing and addressing bullying in your community? Check all that apply and/or input your own ideas in "other".
Trainings for schools or organizational leaders about creating an Upstander culture to prevent bullying
Activities that promote inclusion, empathy and embracing differences with YOUTH to prevent bullying
Activities that promote inclusion, empathy and embracing differences with ADULTS to prevent bullying
Activities for specific Awareness Months (i.e. Black History Month, LGBT History Month, National Bullying Prevention Month, etc.)
How to address when people bully others because of a perceived/actual difference in terms of race, gender, (dis)ability, religion/beliefs, body shape or size, etc.
How to address when people bully others because they were a victim of bullying
Lesson plans about Upstanders in core content areas such as history, art, math, humanities, etc.
Activities to promote emotional intelligence (i.e. self-awareness, self-regulation, motivation, empathy, social skills)
Recommendations about what systems or protocols should be in place to prevent bullying
What other ways can the Tyler Clementi Foundation engage or support you?
If you would like to provide your email so we can reach out to you about your feedback, please do so below.
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This form was created inside of The Tyler Clementi Foundation.