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* 1. Does your school have an anti-bullying program?

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* 2. Do the school leaders train staff to be an active presence in the school?

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* 3. Has your building administrator outlined the program and how to report bullying?

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* 4. Do students/teachers understand the reporting procedures?

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* 5. Do students understand the strategies outlined in the anti-bullying program?

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* 6. Do teachers understand the strategies outlined in the anti-bullying program?

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* 7. Does the anti-bullying program have clear rules outlining the consequences of bullying?

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* 8. Does the anti-bullying program promote positive relationships with students?

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* 9. Is there a reporting process that helps school personnel in identifying the victim and the bully?

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* 10. Does the anti-bullying program teach bullies how to problem solve?

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* 11. Does the anti-bullying program train you how to be an engaged bi-stander?

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* 12. In the past year, do you feel that bullying has been reduced in the following areas?

  Strongly Agree Agree Disagree Strongly Disagree
Bus
Bus-stop
Hallways
Playground
Cafeteria
Classroom
Restroom
Cyber-based

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* 13. Does your current program provide strategies for conflict resolution?

T