- Have you seen bullying at school?*
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- How many times in the past year (the last 12 months) have you been bullied at school?*
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- How were you bullied?*
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- How many kids have bullied you?*
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- During the past year, how often did you miss school because you felt unsafe, uncomfortable or nervous at school or on your way to and from school.*
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- If you have seen bullying at school, what did you do?*
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- If you have been bullied, why do you think it happens?*
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- How many times in the past year have you bullied, teased or made fun of someone?*
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- Why are some kids bullies?*
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- How many times in the past year (the last 12 months) have you had your property stolen or deliberately damaged, such as your car, clothing, or books.*
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- How many times in the past year (the last 12 months) have you been afraid of being pushed, shoved, slapped, hit, or kicked by someone on school property.*
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- How many times in the past year (the last 12 months) have you been afraid of having your property stolen or deliberately damaged, such as your car, clothing, or books?*
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- How many times in the past year (the last 12 months) have you pushed, shoved, slapped, hit, or kicked someone on school property?*
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- How many times in the past year (the last 12 months) have you stolen or deliberately damaged property, such as someone's car, clothing, or books?*
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- What do adults do at school when they see bullying?*
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- Has an adult at school talked to your class about bullying?*
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- What can adults at school do better to help stop bullying?*
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- Have you ever carried a weapon to school?*
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- How many times in the past year (the last 12 months) were you in a physical fight?*
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- Have you talked to anyone about being bullied?*
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- Check all of the following that you would consider to be bullying behavior.*
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- Do you ever want to get revenge on someone who hurts you?*
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- Is there an area in your school where more bullying behavior takes place than anywhere else?*
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- If you feel you are being bullied, how do you respond or react to the bully?*
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- Do you think being bullied can cause someone to hurt themselves or others?*
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