Students Grades 3-8, Survey on Bullying
Exit this survey
1. Post-Survey 2010
Directions: Think about each question carefully. Select the answer that best describes YOU. This survey is anonymous.
1
. This is how I feel about being at my school:
This is how I feel about being at my school:
Very happy and good
Sometimes happy and good
So-so
Sometimes sad and unhappy
Very sad and unhappy
2
. This is how safe I feel in each of these places:
Very Safe
Safe
So-So
Unsafe
Very Unsafe
a. in my classroom
*
This is how safe I feel in each of these places: a. in my classroom Very Safe
a. in my classroom Safe
a. in my classroom So-So
a. in my classroom Unsafe
a. in my classroom Very Unsafe
b. on the playground
b. on the playground Very Safe
b. on the playground Safe
b. on the playground So-So
b. on the playground Unsafe
b. on the playground Very Unsafe
c. in the lunch room
c. in the lunch room Very Safe
c. in the lunch room Safe
c. in the lunch room So-So
c. in the lunch room Unsafe
c. in the lunch room Very Unsafe
d. walking to/from school
d. walking to/from school Very Safe
d. walking to/from school Safe
d. walking to/from school So-So
d. walking to/from school Unsafe
d. walking to/from school Very Unsafe
e. in the bathroom
e. in the bathroom Very Safe
e. in the bathroom Safe
e. in the bathroom So-So
e. in the bathroom Unsafe
e. in the bathroom Very Unsafe
f. in the hall
f. in the hall Very Safe
f. in the hall Safe
f. in the hall So-So
f. in the hall Unsafe
f. in the hall Very Unsafe
g. at extended day
g. at extended day Very Safe
g. at extended day Safe
g. at extended day So-So
g. at extended day Unsafe
g. at extended day Very Unsafe
3
. How often have these things happened to you at school?
Everyday
1 or 2 times a week
1 or 2 times a month
1 or 2 times a year
Never
a. teased in a mean way
*
How often have these things happened to you at school? a. teased in a mean way Everyday
a. teased in a mean way 1 or 2 times a week
a. teased in a mean way 1 or 2 times a month
a. teased in a mean way 1 or 2 times a year
a. teased in a mean way Never
b. called hurtful names
b. called hurtful names Everyday
b. called hurtful names 1 or 2 times a week
b. called hurtful names 1 or 2 times a month
b. called hurtful names 1 or 2 times a year
b. called hurtful names Never
c. left out of things on purpose
c. left out of things on purpose Everyday
c. left out of things on purpose 1 or 2 times a week
c. left out of things on purpose 1 or 2 times a month
c. left out of things on purpose 1 or 2 times a year
c. left out of things on purpose Never
d. threatened
d. threatened Everyday
d. threatened 1 or 2 times a week
d. threatened 1 or 2 times a month
d. threatened 1 or 2 times a year
d. threatened Never
e. hit, kicked, or pushed
e. hit, kicked, or pushed Everyday
e. hit, kicked, or pushed 1 or 2 times a week
e. hit, kicked, or pushed 1 or 2 times a month
e. hit, kicked, or pushed 1 or 2 times a year
e. hit, kicked, or pushed Never
For Questions 4-8, mark all that apply.
4
. At school, who has:
A group of girls
A group of boys
A boy
A girl
Nobody
a. bullied you
*
At school, who has: a. bullied you A group of girls
a. bullied you A group of boys
a. bullied you A boy
a. bullied you A girl
a. bullied you Nobody
b. said mean things to you
b. said mean things to you A group of girls
b. said mean things to you A group of boys
b. said mean things to you A boy
b. said mean things to you A girl
b. said mean things to you Nobody
c. teased you
c. teased you A group of girls
c. teased you A group of boys
c. teased you A boy
c. teased you A girl
c. teased you Nobody
d. called you names
d. called you names A group of girls
d. called you names A group of boys
d. called you names A boy
d. called you names A girl
d. called you names Nobody
e. tried to hurt you at school
e. tried to hurt you at school A group of girls
e. tried to hurt you at school A group of boys
e. tried to hurt you at school A boy
e. tried to hurt you at school A girl
e. tried to hurt you at school Nobody
5
. In what grade is the student (or students) who bullies you?
In what grade is the student (or students) who bullies you?
In my classroom
In the same grade, but different class
In a lower grade
In a higher grade
I haven’t been bullied
6
. When I am bullied, I:
When I am bullied, I:
Do nothing
Tell the bully to stop
Get away from the bully
Hurt other kids
Stay home from school
Tell an adult
Tell a friend
Don’t get bullied
7
. If you have been bullied, whom have you told?
If you have been bullied, whom have you told?
My mother or father
My sister or brother
A teacher or other adult at school
Another student at school
Nobody
Ive never been bullied
8
. If you have been bullied, who has tried to help you?
If you have been bullied, who has tried to help you?
My mother or father
My sister or brother
A teacher or another adult at school
Another student at school
Nobody
I’ve never been bullied
9
. If you have been bullied, what happened after you told someone?
If you have been bullied, what happened after you told someone?
It got better
It got worse
Nothing changed
I never told anyone
I’ve never been bullied
10
. How often do you hit, kick, or push other children?
How often do you hit, kick, or push other children?
Every day
1 or 2 times a week
1 or 2 times a month
1 or 2 times a year
Never
11
. How often do you:
Every Day
1 or 2 Times a Week
1 or 2 Times a Month
1 or 2 Times a Year
Never
a. say mean things
*
How often do you: a. say mean things Every Day
a. say mean things 1 or 2 Times a Week
a. say mean things 1 or 2 Times a Month
a. say mean things 1 or 2 Times a Year
a. say mean things Never
b. tease others
b. tease others Every Day
b. tease others 1 or 2 Times a Week
b. tease others 1 or 2 Times a Month
b. tease others 1 or 2 Times a Year
b. tease others Never
c. call other children names
c. call other children names Every Day
c. call other children names 1 or 2 Times a Week
c. call other children names 1 or 2 Times a Month
c. call other children names 1 or 2 Times a Year
c. call other children names Never
12
. How often have you seen someone:
Every Day
1 or 2 Times a Week
1 or 2 Times a Month
1 or 2 Times a Year
Never
a. being teased in a mean way
*
How often have you seen someone: a. being teased in a mean way Every Day
a. being teased in a mean way 1 or 2 Times a Week
a. being teased in a mean way 1 or 2 Times a Month
a. being teased in a mean way 1 or 2 Times a Year
a. being teased in a mean way Never
b. being threatened
b. being threatened Every Day
b. being threatened 1 or 2 Times a Week
b. being threatened 1 or 2 Times a Month
b. being threatened 1 or 2 Times a Year
b. being threatened Never
c. left out of things on purpose
c. left out of things on purpose Every Day
c. left out of things on purpose 1 or 2 Times a Week
c. left out of things on purpose 1 or 2 Times a Month
c. left out of things on purpose 1 or 2 Times a Year
c. left out of things on purpose Never
d. being called hurtful names
d. being called hurtful names Every Day
d. being called hurtful names 1 or 2 Times a Week
d. being called hurtful names 1 or 2 Times a Month
d. being called hurtful names 1 or 2 Times a Year
d. being called hurtful names Never
e. being hit, kicked, or pushed
e. being hit, kicked, or pushed Every Day
e. being hit, kicked, or pushed 1 or 2 Times a Week
e. being hit, kicked, or pushed 1 or 2 Times a Month
e. being hit, kicked, or pushed 1 or 2 Times a Year
e. being hit, kicked, or pushed Never
13
. How often have you noticed bullying going on in these places?
Every Day
1 or 2 Times a Week
1 or 2 Times a Month
1 or 2 Times a Year
Never
a. in my classroom
*
How often have you noticed bullying going on in these places? a. in my classroom Every Day
a. in my classroom 1 or 2 Times a Week
a. in my classroom 1 or 2 Times a Month
a. in my classroom 1 or 2 Times a Year
a. in my classroom Never
b. on the playground
b. on the playground Every Day
b. on the playground 1 or 2 Times a Week
b. on the playground 1 or 2 Times a Month
b. on the playground 1 or 2 Times a Year
b. on the playground Never
c. in the lunchroom
c. in the lunchroom Every Day
c. in the lunchroom 1 or 2 Times a Week
c. in the lunchroom 1 or 2 Times a Month
c. in the lunchroom 1 or 2 Times a Year
c. in the lunchroom Never
d. walking to or from school
d. walking to or from school Every Day
d. walking to or from school 1 or 2 Times a Week
d. walking to or from school 1 or 2 Times a Month
d. walking to or from school 1 or 2 Times a Year
d. walking to or from school Never
e. in the bathroom
e. in the bathroom Every Day
e. in the bathroom 1 or 2 Times a Week
e. in the bathroom 1 or 2 Times a Month
e. in the bathroom 1 or 2 Times a Year
e. in the bathroom Never
f. in the hall
f. in the hall Every Day
f. in the hall 1 or 2 Times a Week
f. in the hall 1 or 2 Times a Month
f. in the hall 1 or 2 Times a Year
f. in the hall Never
g. at extended day
g. at extended day Every Day
g. at extended day 1 or 2 Times a Week
g. at extended day 1 or 2 Times a Month
g. at extended day 1 or 2 Times a Year
g. at extended day Never
h. at car line
h. at car line Every Day
h. at car line 1 or 2 Times a Week
h. at car line 1 or 2 Times a Month
h. at car line 1 or 2 Times a Year
h. at car line Never
Mark all that apply in 14-15.
14
. Who have you seen doing the bullying?
Who have you seen doing the bullying?
Both boys and girls
A group of boys
A boy
A group of girls
A girl
Nobody
15
. What grades are the bullies in?
What grades are the bullies in?
In my classroom
In the same grade but in a different class
In a lower grade
In a higher grade
I haven’t seen any bullying
16
. What is your ethnic group? (optional)
What is your ethnic group? (optional)
Asian
Black
Hispanic
Native American
White
17
. Are you a boy or a girl?
Are you a boy or a girl?
Boy
Girl
Thank you for your answers!
Adapted from the Maine Project Against Bullying, http://lincoln.midcoast.com/~wps/against/bullying.html
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