Bullying Survey

The purpose of this survey is to find out more about bullying at Culler Middle School. Your name is not required on this survey and your answers are confidential, so please try to answer the questions as honestly as you can.
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A red asterisk (*) indicates required questions.

  1. Select your gender*
    Male
    Female


  1. I feel safe at Culler Middle School. *
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Bullying is a problem at Culler Middle School.*
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. Where do you see the most bullying take place?*
    school
    the bus
    neighborhood
    online
    other


  1. Who do you talk to when you have problems at school?*
    Parent/guardian
    sibling
    counselor
    administrator
    teacher
    friend


  1. Have you ever been bullied?*
    Yes
    No


  1. In the past month, have you been bullied PHYSICALLY?
    Examples: hit, pushed, shoved, slapped, kicked, spit at, beaten up, had property stolen*
    Yes
    No


  1. In the past month, have you been bullied VERBALLY?
    Examples: called names, teased hurtfully, insulted, humiliated, threatened*
    Yes
    No


  1. In the past month, have you been bullied SOCIALLY?
    Examples: excluded from a group, made to look dumb by someone, gossiped about, rumors spread*
    Yes
    No


  1. In the past month, have you been bullied ELECTRONICALLY?
    Examples: Facebook posts, text messaging, e-mails, etc.*
    Yes
    No


  1. In the past WEEK, have you been bullied or seen another student bullied?*
    Yes
    No


  1. Think of the last time you saw or heard another student being bullied. What did you do? (Check any that are true for you)*
    I have not seen or heard another student being bullied
    I ignored it
    I told my parents
    I told my teacher or principal
    I helped the person being bullied
    I stood and watched
    I made a joke about it
    I joined in the bullying
    I got someone to help stop the bullying
    I stood up to the person who was doing it


  1. If you did not do anything the last time you saw someone being bullied, what was the reason? (Check one)
    I wasn't my business or my problem
    I was afraid
    I didn't know what to do or who to talk to
    The person being bullied deserved it
    I don't like telling on other people





Ms. Kokrda
7th Grade English Teacher
Culler Middle School
Lincoln, NE