Gatehouse Bullying Scale



  1. Has anyone TEASED YOU or CALLED YOU NAMES recently?
    0 No (skip to #4)
    1 YES


  1. How often?
    1 Most days
    2 About once a week
    3 Less than once a week


  1. How upsetting was it when you were teased?
    1 Not at all
    2 A bit
    3 I was quite upset


  1. Has anyone spread RUMORS ABOUT YOU recently?
    0 (skip to #7)
    1 YES


  1. How often?
    1 Most days
    2 About once a week
    3 Less than once a week


  1. How upsetting were the rumors?
    1 Not at all
    2 A bit
    3 I was quite upset


  1. Have you been DELIBERATELY LEFT OUT OF THINGS recently?
    0 No (skip to #10)
    1 YES


  1. How often?
    1 Most days
    2 About once a week
    3 Less than once a week


  1. How upsetting was it being left out of things?
    1 Not at all
    2 A bit
    3 I was quite upset


  1. Have you been THREATENED PHYSICALLY OR ACTUALLY HURT by another student recently?
    0 No (you are finished with this survey)
    1 Yes


  1. How often?
    1 Most days
    2 About once a week
    3 Less than once a week


  1. How upsetting was it being threatened or hurt?
    1 Not at all
    2 A bit
    3 I was quite upset


  1. I am
    Male
    Female


  1. I am in
    6th Grade
    7th Grade
    8th Grade