Bullying Survey
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1. Default Section
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1
. Are you a girl or boy?
Are you a girl or boy?
Girl
Boy
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2
. How often have you been bullied?
How often have you been bullied?
A. Everyday
B. Never
C. Occasionally
D. Often
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3
. This school year, you have been bullied ...
This school year, you have been bullied ...
A. Never
B. Verbally
C. Physically
D. Online
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4
. What is your experience with bullying? You may choose more than one answer.
What is your experience with bullying? You may choose more than one answer.
A. Have experienced bullying
B. Have not experienced bullying
C. Have witnessed bullying
D. Have carried out bullying
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5
. Have you ever tried to stop bullying?
Have you ever tried to stop bullying?
A. Yes, by stopping it yourself
B. Yes, by telling an adult
C. No
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6
. Overall, how would you rate the efforts of adults to make your school a safe place.
Overall, how would you rate the efforts of adults to make your school a safe place.
A. Poor
B. Very good
C. Good
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7
. Overall, I believe there is a problem with bullying at MPMS.
Overall, I believe there is a problem with bullying at MPMS.
Yes
No
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8
. Has anyone ever bullied you into giving up lunch, food, drinks and/or a snack?
Has anyone ever bullied you into giving up lunch, food, drinks and/or a snack?
Yes
No
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9
. When you are being bullied, or see others being bullied, where does it usually occur? You may choose more than one answer.
When you are being bullied, or see others being bullied, where does it usually occur? You may choose more than one answer.
A. Bathroom
B. Hallway/locker
C. Cafeteria
D. Online
E. Classroom
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10
. What have you done when you have seen or heard a student being teased or called names in school?
What have you done when you have seen or heard a student being teased or called names in school?
A. Told an adult
B. Walked away and ignored it
C. I laughed
D. I stood and watched
E. I have not seen a student being bullied
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