Bullying At Deep Run

Deep Run We want to know how you feel about your school and how safe you feel
Name (optional): 


  1. This is how I feel about being at my school
    Very happy and good
    Sometimes happy and good
    So-so
    Sometimes sad and unhappy
    Very sad and unhappy


  1. How safe do you feel in your classroom
    Very Unsafe
    Kind of Unsafe
    So-So
    Kind of Safe
    Very Safe


  1. How safe do you feel when you see your name on the Internet?
    Very Unsafe
    Kind of Unsafe
    So-So
    Kind of Safe
    Very Safe


  1. How safe do you feel travelling to school?
    Very Unsafe
    Kind of Unsafe
    So-So
    Kind of Safe
    Very Safe


  1. How safe do you feel in the bathroom?
    Very Unsafe
    Kind of Unsafe
    So-So
    Kind of Safe
    Very Safe


  1. How safe do you feel at the bus stop?
    Very Unsafe
    Kind of Unsafe
    So-So
    Kind of Safe
    Very Safe


  1. How often are you teased in a mean way?
    Everyday
    1 or 2 times a week
    1 or 2 times a month
    1 or 2 times a year
    Never


  1. How often are you called hurtful names?
    Everyday
    1 or 2 times a week
    1 or 2 times a month
    1 or 2 times a year
    Never


  1. How often are you threatened?
    Everyday
    1 or 2 times a week
    1 or 2 times a month
    1 or 2 times a year
    Never


  1. How often are you hit, kicked or punched
    Everyday
    1 or 2 times a week
    1 or 2 times a month
    1 or 2 times a year
    Never


  1. At school, who has bullied you?
    Both boys and girls
    A group of boys
    A boy
    A group of girls
    A girl
    Nobody


  1. At school, who has said mean things to you
    Both boys and girls
    A group of boys
    A boy
    A group of girls
    A girl
    Nobody


  1. At school, who has teased you ?
    Both boys and girls
    A group of boys
    A boy
    A group of girls
    A girl
    Nobody


  1. At school, who has called you names
    Both boys and girls
    A group of boys
    A boy
    A group of girls
    A girl
    Nobody


  1. At school, who has tried to hurt you at school
    Both boys and girls
    A group of boys
    A boy
    A group of girls
    A girl
    Nobody


  1. Check ALL that apply:

    In what grade is the student (or students) who bullies you?


    In my classroom
    In the same grade, but different class
    In a lower grade
    In a higher grade
    I haven't been bullied


  1. Check ALL that apply:

    When I am bullied, I


    Do nothing
    Tell the bully to stop
    Get away from the bully
    Stay home from school
    Tell an adult
    Tell a friend
    I don't get bullied


  1. If you have been bullied, whom have you told?
    My mother or father
    My sister or brother
    A teacher or other adult at school
    A teacher or other adult at school
    Another student at school
    Nobody
    I don't get bullied


  1. If you have been bullied, what happened after you told someone?
    It got better
    It got worse
    Nothing changed
    I never told anyone
    I don't get bullied


  1. We want to know if you have seen bullying at Deep Run
    Every day
    1 or 2 times a week
    1 or 2 times a month
    1 or 2 times a year
    Never


  1. How often have you seen bullying in your classroom?
    Every day
    1 or 2 times a week
    1 or 2 times a month
    1 or 2 times a year
    Never


  1. How often have you seen bullying in the lunchroom?
    Every day
    1 or 2 times a week
    1 or 2 times a month
    1 or 2 times a year
    Never


  1. How often have you seen bullying travelling to or from Deep Run?
    Every day
    1 or 2 times a week
    1 or 2 times a month
    1 or 2 times a year
    Never


  1. How often have you seen bullying in the bathroom?
    Every day
    1 or 2 times a week
    1 or 2 times a month
    1 or 2 times a year
    Never


  1. How often have you seen bullying in the hall?
    Every day
    1 or 2 times a week
    1 or 2 times a month
    1 or 2 times a year
    Never


  1. Check ALL that apply:
    Who have you seen doing the bullying
    Both boys and girls
    A groups of boys
    A boy
    A group of girls
    A girl
    Nobody


  1. Now for some information on you

    Are you
    Male
    Female


  1. What class are you in
    2010
    2011
    2012
    2013


  1. Do you feel like you have been bullied on the internet? Where should we look to make sure that Cyber bullying is not taking place?





Mr. Epps
US History Teacher
Blessed Sacrament-Huguenot
Glen Allen, VA