Parent Bullying Survey - Spring 2013
Today we're asking you to answer some questions about bullying. Your answers will help us better understand if this is a problem at our school, and help us do a better job of helping students if this is a problem.  If you have children in more than one school, you can complete a separate survey for each child.

Please read this information before taking the survey.

Use this definition of bullying to complete the survey questions:

Bullying is an act that is done on purpose to threaten, harass, intimidate, or hurt others. The person being bullied has a hard time defending himself or herself. Usually, bullying happens over and over again, and is not just a one-time problem. Bullying can involve a number of different behaviors:

Physical bullying (punching, shoving, hitting, destruction of property, or other behaviors that hurt people physically)
Verbal bullying (teasing people, calling them names, or making fun of them)

Social/emotional bullying (spreading mean rumors or gossip, intentionally keeping people out of a group or ignoring them, or getting others to “gang up” on someone)

Cyberbullying (teasing, taunting, threatening, or harassing someone through the use of e-mails, cell phones, text or instant messaging, or other electronic methods)

Please answer these questions the best way that you can. There are no right or wrong answers. We’re not asking you to put down your name, so no one will know how you answered the questions. Please try to be honest and truthful with your answers.

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Your child’s gender: *
Your child’s grade during the 2012-2013 school year:   *
Please choose all that apply
Required
Do you think your child feels safe at school? *
Overall, how would you rank the problem of bullying at your child’s school? *
Based on the definitions above, do you think your child has been bullied this year? *
None
1 time
2-3 times
4-5 times
5 times or more
Physical bullying
Verbal bullying
Social/emotional bullying
Cyberbullying (Emails, Texting, Social network such as Face Book, Sexting)
Where has this bullying taken place? *
Check all that apply.
Required
How have you become aware of the bullying? *
Check all that apply.
Required
If your child has been identified as someone who has bullied other students, how have you become aware of that?   *
Check all that apply.
Required
If your child has been involved in a bullying incident, either as the bully or the victim, what  steps have been taken to deal with the situation? *
Check all that apply.
Required
Please mark the following questions about bullying in general: *
Yes, as a general topic of discussion
No
Only when a Problem Occurs
I talk to my child about what bullying is and why it's wrong.
I talk to my child about what to do if he or she is being bullied.
I talk to my child about what to do if he or she sees someone being bullied.
Please mark how you feel about the following questions relating to your child’s school: *
Almost always
Some of the time
Almost never
Doesn’t apply
Do you think teachers know about the bullying that goes on in their classrooms?
Do you think teachers and other adults see the bullying that goes on anywhere in the school?
When teachers or other adults see bullying happen at school, do they try to stop it?
When students are caught bullying someone, do you think they're given a consequence for their behavior?
What activities/events that take place at school are helpful in teaching students about bullying and reducing bullying incidents? *
Check all that apply.
Required
What other information would be helpful for us to know in addressing the problem of        bullying in the schools?
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