Have you ever?

This survey is completely anonymous. Please answer honestly, you will not be judged.


A red asterisk (*) indicates required questions.

  1. Do you feel flattered if a guy/girl acts jealous?*
    Yes
    No


  1. Have you ever pushed or hit a friend, boyfriend/girlfriend?*
    Yes
    No


  1. Do you constantly text a friend, boyfriend/girlfriend?*
    Yes
    No


  1. Would you take up for a stranger you saw being pushed around by the opposite sex?*
    Yes
    No


  1. Would you take up for a friend you saw being pushed around by the opposite sex?*
    Yes
    No


  1. Has a friend or someone you were interested in ever called you a name or put you down?*
    Yes
    No


  1. Have you ever called a friend a name or put them down?*
    Yes
    No


  1. Have you ever spread a rumor about someone you knew probably wasn't true?*
    Yes
    No


  1. Have you ever had a rumor spread about you that wasn't true?*
    Yes
    No


  1. Have you ever ignored an old friend when around new friends?*
    Yes
    No


  1. Has anyone ever demanded all of your attention or demanded much of your time?*
    Yes
    No


  1. Has a boyfriend/girlfriend ever told you what to wear?*
    Yes
    No


  1. Has a boyfriend/girlfriend ever tried to control who your friends are?*
    Yes
    No


  1. Has a boyfriend/girlfriend ever encouraged you to skip school or not do your school work?*
    Yes
    No


  1. Has a boyfriend/girlfriend ever threatened to break up with you if you didn't do as they said?*
    Yes
    No


  1. Has a boyfriend/girlfriend ever threatened physical harm?*
    Yes
    No


  1. Has a friend, boyfriend/girlfriend ever criticized your appearance?*
    Yes
    No


  1. Do you have someone you can trust to talk to if you are having problems?*
    Yes
    No


  1. Do you get constant texts, messages, calls from a girlfriend/boyfriend?*
    Yes
    No


  1. Do you feel comfortable talking to your parents when you feel uncomfortable about something that is happening in your life?*
    Yes
    No





Mrs. Stevens
Teacher
Birdville Center of Technology and Advanced Learning
N. Richland Hills, TX