Bully Prevention Survey
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1.
1
. What grade are you in?
What grade are you in?
6th
7th
8th
2
. Are you a boy or a girl?
Are you a boy or a girl?
Boy
Girl
3
. Do you feel safe at Largo Middle School?
Do you feel safe at Largo Middle School?
Always
Often
Sometimes
Never
4
. Do you learn about bullying in school?
Do you learn about bullying in school?
Yes
No
5
. How often do you see bullying at Largo Middle School?
How often do you see bullying at Largo Middle School?
Never
Sometimes
Often
Always
6
. Where does bullying occur at our school? (Choose all that apply)
Where does bullying occur at our school? (Choose all that apply)
Classroom
Hallways
Media Center
PE field
PE locker room
Gym
Bathrooms
On the way to and from school
At the bus stop
On the school bus
Car circle
7
. If you see someone getting bullied, what do you do? (Choose one answer)
If you see someone getting bullied, what do you do? (Choose one answer)
I try to stop the bullying and help the victim
I walk away and get help from adults or students
I ignore it and walk away
I watch and/or join in the bullying
8
. Have you been bullied at school in the past 30 days? (Choose one answer)
Have you been bullied at school in the past 30 days? (Choose one answer)
Never
Once
Yes, sometimes (1-2 times a month)
Yes, often (1-2 times per week)
Yes, every day
9
. What do adults/teachers do when they see bullying at our school? (Choose one answer)
What do adults/teachers do when they see bullying at our school? (Choose one answer)
They stop it and help solve the problem
Nothing, they ignore it
I don't know
10
. If you have been bullied this school year, in what way(s) were you bullied? (Choose all that apply)
If you have been bullied this school year, in what way(s) were you bullied? (Choose all that apply)
I have not been bullied
Verbal: Saying mean things to you, name calling, teasing
Physical: Hitting, kicking, pushing, spitting, throwing things at you
Relational: Being left out on purpose, excluded from a group
Cyber Bullying: Someone used a cell phone such as text messaging or the internet to bully me
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