Student Survey
Thank you for taking a few minutes to complete this survey. We are currently looking at our school environment and want your feedback on how incidents of bullying have been handled at Neihardt. This information will be used to help us work to teach our students how to handle bullying behaviors and how to respond to each other in ways that are safe and respectful. There are no right or wrong answers to the following questions.
Name *
Your answer
In the classroom I feel: *
On the playground I feel: *
In the cafeteria I feel: *
Going to and from school I feel: *
On the school bus I feel: *
Other kids hit, kick, or push me: *
Other kids say mean things, tease, or call me names: *
Other kids leave me out or spread rumors/gossip about me: *
Other kids say mean things to me using social media, email, or texting: *
How often do you spend lunch alone? *
How often do you spend recess alone? *
In order for mean behavior to be bullying it must have happened more than one time with the same person?
How often do you hit, kick, or push someone? *
How often do you say mean things, tease, or name call another student? *
How often do you leave out someone or spread rumors/gossip about them? *
How often do you send mean things over social media, texting, or email about another student? *
If you have been bullied this year, who have you told? Check all that apply: *
Required
If you have been bullied, what grade is the student (or students) who bullies you? *
Required
If you have been bullied this year, who has tried to help you? Check all that apply: *
Required
When I am bullied, I...(check all that apply) *
Required
When I report mean things or bullying to adults at school, the adult takes care of it... *
Never
Always
When I reported mean things or bullying to adults at school, things get better... *
Never
Always
Submit
Never submit passwords through Google Forms.
This form was created inside of Millard Public Schools. Report Abuse - Terms of Service - Additional Terms