Bullying Survey for Students


A red asterisk (*) indicates required questions.

  1. How safe do you feel in the lunchroom?*
    Not Safe
    Safe
    Very Safe


  1. How safe do you feel in the restrooms?*
    Not Safe
    Safe
    Very Safe


  1. How safe do you feel in the classroom?*
    Very Safe
    Safe
    Not Safe


  1. How safe do you feel in the lockerroom?*
    Very Safe
    Safe
    Not Safe


  1. How safe do you feel in your neighborhood and community?*
    Very Safe
    Safe
    Not Safe


  1. How safe do you feel on the school grounds?*
    Very Safe
    Safe
    Not Safe


  1. How safe do you feel at school entrances and exits?*
    Very Safe
    Safe
    Not Safe


  1. How safe do you feel in the hallways at school?*
    Very Safe
    Safe
    Not Safe


  1. How safe do you feel going to and from school?*
    Very Safe
    Safe
    Not Safe


  1. In the past 4 weeks at school how often have other students bullied you physically?*
    not once
    once or twice
    every week
    daily


  1. In the past 4 weeks at school how often have other students bullied you verbally?*
    not once
    once or twice
    every week
    daily


  1. In the past 4 weeks at school how often have other students bullied you socially?*
    not once
    once or twice
    every week
    daily


  1. In the past 4 weeks at school how often have other students bullied you electronically?*
    not once
    once or twice
    every week
    daily


  1. In the past 4 weeks at school how often have other students bullied you racially?*
    not once
    once or twice
    every week
    daily


  1. In the past 4 weeks at school how often have other students bullied you sexually?*
    not once
    once or twice
    every week
    daily


  1. In the past 4 weeks at school how often have other students bullied you based on your religion?*
    not once
    once or twice
    every week
    daily


  1. In the past 4 weeks at school how often have other students bullied you based on your gender (because you are a boy or girl).*
    not once
    once or twice
    every week
    dailyI


  1. In the past 4 weeks how often have you tried to help another student who was being bullied?*
    Not once in 4 weeks.
    Once in 4 weeks.
    Every week.
    Daily.


  1. Do teachers try to stop bullying?*
    Never
    Sometimes
    Often
    Always


  1. Does the principal or dean of students try to stop bullying?*
    Never
    Sometimes
    Often
    Always


  1. Where does bullying happen at school the most?*
    Classrooms
    Hallways
    School Entrances/Exits
    Locker Rooms
    Restrooms
    School Grounds
    Lunchroom


  1. Where does bullying happen the least?*
    Classrooms
    Hallways
    School Entrances/Exits
    Locker Rooms
    Restrooms
    School Grounds
    Lunch Room


  1. How safe do you feel at or before school activities?*
    Very Safe
    Safe
    Unsafe


  1. Have you bullied others at school?*
    Not once in 4 weeks.
    Once or twice in 4 weeks.
    Every week.
    More than once a week.


  1. Please add an comments you have about bullying:





Mr. Chromy
NE