Record of Bullying Behaviour
1. Name of pupil being bullied *
Your answer
2. Class *
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3. Name(s) and class(es) of pupils engaged in bullying behaviour *
Your answer
4. Source of bullying concern. *
Please tick relevant box(es).
Required
5. Location of bullying incidents. *
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Required
6. Name of person reporting the bullying incident. *
Your answer
7. Contact details of person reporting the bullying incident. *
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8. Type of Bullying Behaviour *
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Required
9. Where behaviour is regarded as identity-based bullying, indicate the relevant category:
10. Please give a brief description of the bullying incident and its impact. *
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