Have You Seen Bullying?
Exit this survey
1. Have You Seen Bullying?
If you have witnessed bullying, we want to hear from you! Your opinions are important! Responses are confidential.
1
. Which state or country do you live in?
Which state or country do you live in?
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Country:
2
. Pick one that best describes where you live.
Pick one that best describes where you live.
City
Suburbs
Small Town
Rural
3
. Choose which best describes your school.
Choose which best describes your school.
Public School
Private School
Charter School
Homeschool
4
. Does your school have a bullying prevention program?
Does your school have a bullying prevention program?
Yes
No
5
. Are you?
Are you?
Boy
Girl
6
. What grade are you in?
What grade are you in?
Kindergarten
1st, First grade
2nd, Second grade
3rd, Third grade
4th, Fourth grade
5th, Fifth grade
6th, Sixth grade
7th, Seventh grade
8th, Eighth grade
9th, Ninth grade (freshman)
10th, Tenth grade (sophomore)
11th, Eleventh grade (junior)
12th, Twelfth grade (senior)
Post high school
Post high school
7
. Where did the bullying occur? (check all that apply)
Where did the bullying occur? (check all that apply)
Hallway
Classroom
Locker room
Cafeteria
Bathroom
Bus
Cell phone
Internet
Other (please specify)
8
. What kind of bullying have you seen? (check all that apply)
What kind of bullying have you seen? (check all that apply)
Name calling
Threats
Teasing, making fun of
Gossip, talking behind back
Something damaged or stolen
Shoved, kicked, or hit
Ignored
Left out on purpose
Calling someone “gay”
Calling someone “retard”
Other (please specify)
9
. Was the bullying about any of the following? (check all that apply)
Was the bullying about any of the following? (check all that apply)
Academic Ability
Age
Clothing
Disability
Family income
Gender/sexual orientation
Hair
Height
Race
Religion
Sports Ability
Weight
Where you live
Other (please specify)
10
. What did you do in response? (check all that apply?)
What did you do in response? (check all that apply?)
Joined in, bullied too.
Nothing. It’s not my problem.
Wanted to do something but afraid to get involved.
Felt bad for other person, but didn’t do anything.
Laughed along with everyone else.
Told the person bullying to stop.
Let an adult know what was happening.
Helped the person being bullied.
Talk with parents about it.
Talk with a friend about what happened.
Other (please specify)
11
. Would you have liked to have done more?
Would you have liked to have done more?
Yes
No
12
. What would help you to address bullying?
What would help you to address bullying?
More information about what you do in bullying situations
Bullying policies posted at school
Support from other students
Education for kids who bully, how they can do handle situations differently
Support from adults
Other (please specify)
13
. Anything else you want to share?
Anything else you want to share?
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