Student Bullying Survey

We would like you answer a few questions about your school. Read each question and pick the best answer. Please try to answer all question honestly. There are not right or wrong answers.
Your teacher will NOT see your answers to teh questions. No one will know what you wrote unless you tell them.

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A red asterisk (*) indicates required questions.


  1. Which school do you attend?*
    Garfield Elementary
    Lincoln Elementary
    McKinley Elementary
    Mellette Elementary
    Roosevelt Elementary
    Jefferson Elementary


  1. What grade are you in?*
    Kindergarten - Pre-Kindergarten
    1st
    2nd
    3rd
    4th
    5th
    6th


  1. What is your gender?*
    Male (Boy)
    Female (Girl)


  1. I feel safe at this school.*
    Yes
    No


  1. I have a good relationship with at least one adult in this school.*
    Yes
    No


  1. Teachers take time during the school day to teach us social skills.*
    Yes
    No


  1. Have you been bullied by other students?*
    Yes
    No


  1. Have you seen or heard others being bullied?*
    Yes
    No


  1. Have you bullied someone else?*
    Yes
    No


  1. Have others said they were going to hurt you?*
    Yes
    No


  1. Have you said something nice to another student this last week at school?*
    Yes
    No


  1. Have you said you were going to hurt another student this last week?*
    Yes
    No


  1. Does bullying occur in your school?*
    Yes
    No


  1. If YES, please mark all of the areas where you have been bullied, seen others bullies, or you bullied others.  *


  1. Please mark all of the kinds of bullying that took place when you were bullied, saw others being bullied or you bullied others.*
    Call Names
    Hit, Kick, Punch, Push
    Write Notes
    Damage Property
    Exclude or Leave Out
    Threaten
    Steal
    Instant/Text Messaging
    E-Mail
    Other


  1. If you have been bullied, did you tell an adult? If you have not been bullied, skip and go to the next question.
    Yes
    No


  1. Did an adult stop or try to stop the bullying incident you oserved? If you have not observed bullying, skip and go to next question.
    Yes
    No


  1. Did another student stop or try to stop the bullying incident you observed? If you have not observed bullying, skip and go to the next question.
    Yes
    No


  1. If bullying is a problem at your school, what should students and adults do to help stop bullying? Please write your ideas.


  1. Are there any areas in your school where you DO NOT feel safe?*
    Yes
    No


  1. If YES, please mark all of the areas where you DO NOT feel safe.
    Lunchroom
    Halls
    Classroom
    Bathroom
    School Bus
    Locker Room
    Outside, on School Grounds
    Online/Text Messaging
    Other


  1. Does bullying occur on the playground at your school?
    If NO skip to question 24.*
    Yes
    No


  1. If "YES", at waht time(s) does bullying occur on the playground? (Check all that apply)
    In the morning, before Supervisors are on the playground.
    In the morning, after Supervisors are on the playground.
    During NOON HOUR/LUNCH recess.
    During AFTERNOON recess (3rd grade only)
    After School (3:20 - 4:00)
    Nights (After 4:00)
    Weekends


  1. Do you ride the bus to and from home?*
    Yes
    No


  1. If you answered YES to question 24, does bullying occur while waiting for the bus?
    Yes
    No


  1. If you answered YES to question 24, does bullying occur during the bus ride from bus stop to the Middle School?
    Yes
    No


  1. If you answered YES to question 24, does bullying occur at the Middle School during teh bus transfer?
    Yes
    No


  1. If you answered YES to question 24, Does bullying occur during the bus ride from the Middle School back to the bus stop?
    Yes
    No





Director of Computer Services
Watertown School District
Watertown, SD