Antibullying Student Survey
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1
. Are you a male or female student?
Are you a male or female student?
male
female
2
. Are you in 7th grade or 8th grade?
Are you in 7th grade or 8th grade?
7th
8th
3
. During the past 2 weeks, have you experienced physical bullying?
During the past 2 weeks, have you experienced physical bullying?
Yes
No
4
. During the past 2 weeks, have you experienced verbal bullying?
During the past 2 weeks, have you experienced verbal bullying?
Yes
No
5
. During the past 2 weeks have you experienced social bullying?
During the past 2 weeks have you experienced social bullying?
Yes
No
6
. During the past 2 weeks, have you experienced electronic bullying?
During the past 2 weeks, have you experienced electronic bullying?
Yes
No
7
. If you were bullied, where did it occur?
If you were bullied, where did it occur?
On the way to school
On the way home from school
In the lunch lines
In the back of the campus
In the hallways
In class
In the locker room
8
. If you are bullied, what will you do as a response?
If you are bullied, what will you do as a response?
Report to the bully box
Report to a trusted adult
Tell the person to stop on your own
Nothing
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