Bullying Survey

Check all the answers that are true to you.

Name


  1. During this school year how often have you seen someone being bullied?
    Never
    Sometimes (1 or 2 times a month)
    Regularly (1 or 2 times a month)
    Everyday


  1. During this school year how often have you been bullied at school?
    Never
    Sometimes (1 or 2 times a month)
    Regularly (1 or 2 times a month)
    Everyday


  1. How were you bullied?
    I haven’t been bullied
    I have been teased and called names
    I have been hit, kicked or pushed.
    Others leave me out of their group.
    Others have taken my belongings
    Others say they will hurt me.
    Others bully me by phone or text message.


  1. During the past year how often did you miss school because you felt unsafe, uncomfortable or nervous at school or on your way to or from school?
    Never
    Sometimes (1 or 2 times a month)
    Regularly (1 or 2 times a week)
    Everyday


  1. If you have saw bullying at school, what would you do?
    I haven't seen any bullying
    Ignored it as none of my business
    Nothing, just watched
    Joined in on the fun
    Tried to stop the bully of help the victim
    Asked for help from an adult or other student


  1. If you have been or are being bullied, why do you think it happens?
    No one bullies me.
    I don't know why others bully me.
    I act or look different.
    I always do well in class
    I'm smaller or weaker.
    Other reasons:___________________________


  1. Why are some kids bullies?
    I don't know.
    They are bigger and stronger.
    They think it's fun.
    They want to get even for being bullied themselves.
    They want to show off or impress their friends.
    They fight in their own families.


  1. What do adults do at school when they see bullying?
    Nothing, they ignore it.
    Stop it and tell everyone to leave.
    Stop it and solve the problem.
    Other:___________________________________


  1. What can adults at school do better to help stop bullying?
    Supervise the school better.
    Make rules against bullying and discipline bullies.
    Talk about bully prevention in class.
    Help students work out problems.
    Bullying is not a problem at our school.


  1. Have you talked to anyone about being bullied?
    I have not been bullied.
    No.
    Yes, a teacher or other adult at school.
    Yes, a brother or sister...
    Yes, a friend
    Yes, my parents