Anonymous Bullying Report
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Name (optional)
School Name
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Victim's Name(s) *
Name of person(s) doing the bullying *
Witness(es) name(s)
If any.
Where did the bullying happen? *
How long has the bullying been going on? *
What have you done about this problem?
Have you talked to anyone about this already?
(Student, Teacher, or Other Adult)
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Who do you want to talk to about the problem? *
What do you want to happen now? *
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