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2015
October
S
Student Bullying Survey
Student Bullying Survey
Student Bullying Survey
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Hello:
You are invited to participate in our Student Bullying Survey. In this survey, approximately 300 students will be asked to complete a survey that asks questions about their thoughts on Bullying. It will take approximately 5 minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact your teacher, counselor or Assistant Principle at any time.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Do you feel safe or welcomed at your school?
Always
Often
Sometimes
Never
During the past nine weeks, have you been bullied i any of the following ways?
Not any time
Once or Twice
Every Week
Many Times
Verbally
Socially
Electronically
What do you consider bullying? Check all that apply.
Teasing/Taunting
Repeated negative action towards other students
Students spreading rumors about other students
Hitting/Kicking/Pushing/Tripping
Defamation (trying to destroy someone's reputation)
Name Calling
Intentional public embarrassment
Intentionally bumping someone
Seeking power or control of someone
Where and how often does bullying occur?
Never
Sometimes
Often
Don't Know
Hallway
Restrooms
School Bus
Lunchroom
Gym
Electronically
Have you avoided coming to school, going to classes or other areas of the school, i.e. restrooms/locker rooms/school buses to avoid being bullied?
Yes
No
Who should you report bullying acts to? Check all you think you could report bullying to.
Classroom teacher
Counselor
Resource Officer
Parents
Principals
Other Faculty or Responsible Adults
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