Anti-Bullying Survey
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1.
Thank you for taking the time to complete this survey. We will use the results to continue to improve the environment in our school.
1
. Gender
Gender
Male
Female
2
. What grade are you in?
What grade are you in?
Grade 6
Grade 7
Grade 8
Please answer the following questions by checking the answer that fits best for you.
3
. Do you think bullying is a problem at Shoreline?
Do you think bullying is a problem at Shoreline?
Yes
No
4
. Have you ever been bullied at Shoreline?
Have you ever been bullied at Shoreline?
Yes
No (If you answered No, go straight to question 8.)
5
. If you answered Yes to either of questions 3 or 4, then please indicate where you were bullied.
If you answered Yes to either of questions 3 or 4, then please indicate where you were bullied.
Classroom
Hallway/Cafeteria
Washrooms
Changing Rooms
Outside on the school grounds
6
. If you have been bullied at school, when did the bullying take place? Check all that apply.
If you have been bullied at school, when did the bullying take place? Check all that apply.
During class
During break
During lunch
Before school
After school
7
. In what grade was the person who bullied you?
In what grade was the person who bullied you?
Grade 6
Grade 7
Grade 8
Not sure
8
. Would you be willing to help stop bullying at Shoreline?
Would you be willing to help stop bullying at Shoreline?
Yes
No
Maybe
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