Bullying/Violence Prevention Student Survey

1. Default Section

Bullying and harassment happens whenever anyone harms or threatens to harm a person's body, feelings, or belongings. It happens repeatedly over time and there is an imbalance of power. It can be a mean word, look, or sign and it is an act of violence.
Please check the answer that best represents your experience with bullying. In questions marked with an * you may check more than one answer. Select your responses based on this school year ONLY.

1. What is your gender?

What is your gender? Male

Female

2. What is your grade level?

What is your grade level? Grade 3

Grade 4

Grade 5

3. Bullying is

Bullying is no problem at all in my school

somewhat of a problem in my school

a big problem in my school

4. Have you ever been bullied?

Have you ever been bullied? never

once or twice

3 to 5 times

6 or more times

5. *If you have been bullied, where did it happen?

*If you have been bullied, where did it happen? classroom

hallway

playground

cafeteria

bathroom

PE field

I have never been bullied

6. Have you seen other students been bullied at school?

Have you seen other students been bullied at school? never

once or twice

3 to 5 times

6 or more times

7. *What kind of things have bullies done to you or someone you know?

*What kind of things have bullies done to you or someone you know? called names

threatened

stole or damage belongings

shoved, kicked, or hit

ignored

8. Have you acted as a bully?

Have you acted as a bully? never

once or twice

3 to 5 times

6 or more times

9. Do you believe you can count on adults in your school to protect you from being bullied or harassed by others?

Do you believe you can count on adults in your school to protect you from being bullied or harassed by others? most of the time

some of the time

rarely

never

Survey Powered by:

SurveyMonkey.com

"Surveys Made Simple."

form {display:none;} #jserror {text-align:center;margin-top:50px;}Javascript is required for this site to function, please enable.