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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.
Have you ever been bullied? Please click on Yes or No.
*
Yes
No
If you answered yes, how often did someone bully you? If no, select "I have never been bullied."
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Occasionally
Often
Every day
I have never been bullied.
If it happened at school, where? You may check more than one.
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Hallway
Classroom
Playground
Bathroom
Cafeteria/Recess
Bus
Somewhere else
I have never been bullied.
Have you seen other students being bullied at school?
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Yes
No
If you answered yes, did you do anything about it?
Yes
No
No, but I wanted to.
What kinds of things have bullies done to you or to someone you know? You may check more than one.
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Name calling
Threats
Stole or damaged something of theirs
Shoved, kicked, or hit
Ignored, excluded from group
Told lies about
How much of a problem is bullying for you?
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Very much
Not much
None
List some of the actions you think students, teachers, parents, or other adults could do to stop bullying. (You may type up to 60 characters in your answer.)
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Hedy Laverdiere
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