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* 1. Are you male or female? What grade are you in?

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* 2. What kind of Bullying have you SEEN (done to others) at Crete-Monee Middle School? (CHECK ALL THAT APPLY):

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* 3. Where did the bullying occur? (CHECK ALL THAT APPLY):

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* 4. Was the bullying about any of the following? (CHECK ALL THAT APPLY):

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* 5. What did you do in response? (CHECK ALL THAT APPLY):

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* 6. Would you have liked to have done more?

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* 7. What kind of bullying have YOU EXPERIENCED (done to you) at Crete-Monee Middle School? (CHECK ALL THAT APPLY):

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* 8. Where did the bullying occur?(CHECK ALL THAT APPLY):

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* 9. What were you bullied about? (CHECK ALL THAT APPLY):

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* 10. What did you do in response? (CHECK ALL THAT APPLY):

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