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Have You Been Bullied? MCES Survey 2014
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Are you male or female?
Male
Female
What grade are you in?
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Have you been bullied this year at school -- either on school grounds, on the school bus, or at the bus stop? If you answer is "no" please select no and then go to question 9.
Yes
No
If you have been bullied this year, where did the bullying occur? Check all that apply.
Hallway
Classroom
Cafeteria
Bathroom
Playground
Bus
Bus stop
Other
What kind of bullying have you experienced? Check all that apply.
Teased or made fun of
Pushed, shoved, or tripped
Gossiped about/rumors spread about you
Left out or wouldn't let you join in activities on purpose
Destroyed your property on purpose
Tried to make you do things you did not want to do; for example tried to make you give them money or other things
Used cell phones or internet to say or post hurtful things about you
Other
Was the person(s) bullying you? Check all that apply.
bigger than you
older than you
different gender
Someone who had been your friend
Someone you sort of knew
Someone that you did not know at all
Was the bullying about any of the following? Check all that apply.
Academic ability
Age
Clothing
Disability
Family Income
Height
Race
Religion
Sports ability
Weight
Where you live
Other
What did you do in respond? Check all that apply.
Nothing
Told a friend
Ignored it
Stayed away from the person bullying
Stood up for myself
Bullied them back
Told an adult at school
Told my parents
Stayed home
Other
What would help you to address bullying? Check all that apply.
Learn more about what to do in bullying situations
Bullying policies posted at school
Support from other students
Support from adults
Anonymous way to report bullying
Education for kids who bully, what they can do to handle situations differently
Other
Is there anything else you would like to share with the adults at school about bullying?
Mrs. Swing
4th grade
Mossy Creek Elementary School
Cleveland, GA
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