CMMS Bullying Survey Question Title * 1. Are you male or female? What grade are you in? Male Female 7th Grade 8th Grade Question Title * 2. What kind of Bullying have you SEEN (done to others) at Crete-Monee Middle School? (CHECK ALL THAT APPLY): Name Calling Threats Teasing, Making fun of someone Gossip/Rumors, talking behind someone's back Something being damaged or stolen Shoved, kicked, or hit Ignored, Left out on purpose None, I haven't seen any bullying Question Title * 3. Where did the bullying occur? (CHECK ALL THAT APPLY): Hallway Classroom Locker Room Cafeteria Bathroom Bus Electronic device (phones, facebook, instagram, IM, e-mail, etc.) No location, I haven't seen any bullying Question Title * 4. 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 None, I haven't seen any bullying Question Title * 5. 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. Talked with parents about it. Talked with a friend about what happened. Talked to a trusted adult about what happened. Nothing, because I have never seen bullying happen Question Title * 6. Would you have liked to have done more? Yes No Question Title * 7. What kind of bullying have YOU EXPERIENCED (done to you) at Crete-Monee Middle School? (CHECK ALL THAT APPLY): Name Calling Threats Teasing, Making fun of someone Gossip/Rumors, talking behind someone's back Something being damaged or stolen Shoved, kicked, or hit Ignored, Left out on purpose None, I have never been bullied Question Title * 8. Where did the bullying occur?(CHECK ALL THAT APPLY): Hallway Classroom Locker Room Cafeteria Bathroom Bus Electronic device (phones, facebook, instagram, IM, e-mail, etc.) No location, I haven't been bullied Question Title * 9. What were you bullied about? (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 Nothing, I have never been bullied Question Title * 10. 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. Talked with parents about it. Talked with a friend about what happened. Talked to a trusted adult about what happened. Nothing, because I haven't been bullied Done