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Have You Ever Been Bullied?

(This is an anonymous survey. Names are unknown)

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A red asterisk (*) indicates required questions.


  1. Have you ever been bullied? Please click on Yes or No.*
    Yes
    No


  1. If you answered yes, how often did someone bully you? If no, select "I have never been bullied."*
    Occasionally
    Often
    Every day
    I have never been bullied."


  1. If it happened at school, where? You may check more than one.*
    Hallway
    Classroom
    Playground
    Bathroom
    Cafeteria
    Bus
    Somewhere else
    I have never been bullied.


  1. Have you seen other students being bullied at school?*
    Yes
    No


  1. If you answered yes, how often did it happen?*
    Occasionally
    Often
    Every day
    I have never been bullied.


  1. Where have you seen other students bullied? You may check more than one.*
    Hallway
    Classroom
    Playground
    Cafeteria
    Bathroom
    Bus
    On the Internet
    Somewhere else


  1. What kinds of things have bullies done to you or to someone you know? You may check more than one.*
    Called names
    Threatened
    Stole or damaged something
    Shoved, kicked, or hit
    Ignored
    Told lies about


  1. How much of a problem is bullying for you?*
    Very much
    Not much
    None


  1. List some of the actions you think parents, teachers, and other adults could perform to stop bullying. (You may type up to 60 characters.)*





Mrs. L
Broadview Heights, OH