Parent Bullying Survey for Thomas Paine International Elementary School

Bullying is repeatedly hurting another person with words or actions.


  1. Has your child ever told you he/she was bullied in school?
    Yes
    No


  1. Has your child ever told you about another student(s) being bullied at school?
    Yes
    No


  1. Has your child ever told you he/she was being teased or called names at school?
    Yes
    No


  1. Has your child ever told you he/she was being hit, kicked, or punched at school?
    Yes
    No


  1. Has your child ever told you he/she feels alone or left out at school?
    Yes
    No


  1. Has your child ever wanted to stay home because he/she was being bullied?
    Yes
    No
    I'm not sure


  1. If your child reported bullying, who was doing the bullying? (check all that apply)
    Boy
    Girl
    Younger student
    Older student
    Student who is the same age
    One student
    More than one student
    My child has not been bullied


  1. If your child reported bullying, where did the bullying occur? (check all that apply)
    Bathroom
    Bus
    Classroom
    Gym
    Hallway
    Lunch room
    Playground
    Other
    My child has not been bullied


  1. Has your child ever bullied someone else at school?
    Yes
    No
    I'm not sure


  1. Do you think that Thomas Paine is a safe place for your child to learn?
    Yes
    No


  1. How big a problem do you believe bullying is a Thomas Paine?
    Not at all
    Somewhat
    Big problem


  1. Would you be willing to donate your time to help make Thomas Paine a "bully-free" zone?
    Yes
    No


  1. If you are willing to donate your time, what assistance could you provide? (check all that apply)
    Morning playground supervision
    Lunch supervision
    Organize games
    Other


  1. What else would you like us to know about the issue of bullying? If so, please include your name and phone number in your response.





Susan Weinman