FHN Bullying Reporting Form
Definition of Bullying: Bullying is the intentional action by an individual or group of individuals to inflict physical, emotional or mental suffering on another individual or group of individuals.
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Date *
Your answer
Name of person you feel is bullying *
Your answer
Name of person you feel is being bullied *
Your answer
Your Name (optional)
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Your contact information (optional)
Your answer
I am a: *
Select all that apply
Type of Bullying *
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Required
Did you witness the bullying? *
If you did not witness the bullying, how did you hear about the bullying?
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Description of Event *
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