PBIS School Climate Survey

This survey is anonymous and the data collected will be used to better our school climate.


A red asterisk (*) indicates required questions.

  1. What grade are you currently in?*
    7th
    8th
    9th
    10th
    11th
    12th


  1. What is your gender?*
    Female
    Male


  1. Bullying means behavior that physically or emotionally harms another student, and therefore creates a difference in power between the two students; OR creates a situation where students do not feel safe to learn. Which of the following is a form of bullying?*
    persistent teasing
    rumor spreading
    physical intimidation
    verbal threats
    text or internet threats
    all of the above


  1. Harassment is when students are bullied because of what reasons?*
    race
    gender
    physical appearance
    sexual orientation
    having a disability
    all of the above


  1. I feel safe from physical harm; intimidation; or threats.*
    Never
    Some of the time
    Most of the time
    Always


  1. I feel safe from persistent teasing; rumor spreading; cyber-bullying; and other behaviors that could be emotionally hurtful.
    Never
    Some of the time
    Most of the time
    Always


  1. My teachers treat me with respect.
    Never
    Some of the time
    Most of the time
    Always


  1. Other students treat me with respect.
    Never
    Some of the time
    Most of the time
    Always


  1. Use of profanity (swear words) is a problem in our school
    Never
    fewer than 3 times per year
    1-3 times per month
    once a week or more


  1. I have observed other students being bullied.
    Never
    fewer than 3 times per year
    1-3 times per month
    once a week or more


  1. I have been bullied.
    Never
    fewer than 3 times per year
    1-3 times per month
    once a week or more


  1. I have observed other students being harassed.
    Never
    fewer than 3 times per year
    1-3 times per month
    once a week or more


  1. I have been harassed.
    Never
    fewer than 3 times per year
    1-3 times per month
    once a week or more


  1. If you have been harrassed or bullied , what form was the bullying/harrasment ?
    Verbal (words were used to bully or harass me).
    Physical (someone threatened me with physical harm, or someone assaulted me).
    Technological (someone used a computer, cell phone, or other device to bully or harass me).


  1. I have observed harassment related to disabilities (example: calling someone “retard” or “cripple” ).
    Never
    fewer than 3 times per year
    1-3 times per month
    Once per week


  1. I have observed harassment related to physical appearance (example: calling someone “fatso”).
    Never
    fewer than 3 times per year
    1-3 times per month
    Once per week


  1. I have observed harassment related to sexual orientation (i.e., comments like “gay")
    Never
    fewer than 3 times per year
    1-3 times per month
    Once per week


  1. I have observed harassment related to race, color, or ethnicity (i.e., use of racial slurs).
    Never
    fewer than 3 times per year
    1-3 times per month
    Once per week


  1. I have observed harassment related to religious beliefs. (i.e., insulting statements about religious beliefts. Examples: Jewish; Christian; Buddhist; Muslim; Atheist)
    Never
    fewer than 3 times per year
    1-3 times per month
    Once per week


  1. I have participated in verbal bullying (persistent teasing or rumor spreading) or harassment.
    Never
    fewer than 3 times per year
    1-3 times per month
    Once per week


  1. I have used physical intimidation or threats.
    Never
    fewer than 3 times per year
    1-3 times per month
    Once per week


  1. I have used computers or other devices (e.g., text messaging) in a way that could be hurtful or intimidating to other students.
    Never
    fewer than 3 times per year
    1-3 times per month
    Once per week


  1. If I were being bullied or harassed at school, I would talk to a staff member (teacher; administrator; counselor; custodian; cook; etc.) for help.
    yes
    no


  1. If I talk to staff members about these kinds of problems, I think they would listen and do things that help me feel supported.
    yes
    no


  1. There is a way (a form or procedure students know about) for reporting harassment or bullying at my school that I know how to use if I needed or wanted to report an incident
    yes
    no


  1. When do you think bullying or harassment most likely to occur?
    before school
    during school
    after school


  1. oWhere do you believe bullying or harrassment occurs>
    classrooms
    hallways
    restrooms
    cafeteria
    locker rooms
    away from school


  1. Which of the following do you believe to be a problem at our school?
    weapons
    truancy (students missing many days of school)
    vandalism (destroying property)
    drug/alcohol use
    fights
    bullying and/or harassment


  1. If you have a problem with being bullied or harassed, which teachers would you feel comfortable with to bring your problems to?


  1. What does PBIS stand for?


  1. What are some small, weekly prizes you would like to see in the PBIS drawings?


  1. What are some medium quarterly prizes you would like to see in the PBIS drawings?


  1. Who can be victims of bullying and/or harassment?
    students
    teachers
    the principal
    coaches
    all of the above





Mrs. Sayers
Beecher City Jr/Sr High School
Beecher City , IL