Parents and Caregivers Anti-Bullying Survey

Please help our school corporation in gathering information on bullying. In answering the following questions please be aware that bullying means:
"Overt, repeated acts or gestures, including: (1) verbal or written communications transmitted (2) physical acts committed (3) any other behaviors committed by a student or group of students against another student with the intent to harass, ridicule, humiliate, intimidate or harm the other student." (IC 20-22-8-0.2)

1. The name of my child's school is:

The name of my child's school is: Lima-Brighton Elementary

Parkside Elementary

Wolcott Mills Elementary

Lakeland Middle School

Lakeland High School

2. The grade of my child is

The grade of my child is 5th grade

6th grade

7th grade

8th grade

9th grade

3. I am the child's

I am the child's Parent

Grandparent

Other caregiver

4. Has your child been bullied in school during the last 12 months?

Has your child been bullied in school during the last 12 months? Yes, a lot

Yes, a little

Not sure

5. When did the bullying last happen?

When did the bullying last happen? In the last week

In the last month

In the last term

In the last 12 months

My child has not experienced bullying in the past 12 months

6. What kind of bullying was it?
Please click ALL that are true for your child

What kind of bullying was it? Please click ALL that are true for your child Physcial (Ex. hitting, kicking, pushing or spitting)

Verbal (Ex. Name calling, making verbal threats, sending threats by phone or through the internet)

Indirect (Ex. Spreading rumors, excluding your child, writing nasty graffiti about your child, posting photos or information about your child online)

My child has not experienced bullying

7. Would you describe the bullying in any of the following ways?
Please click ALL that are true for you

Would you describe the bullying in any of the following ways? Please click ALL that are true for you Cyberbullying (Through the computer or mobile phones - text messages, nasty comments online, sending images)

Racist and/or bullying related to religion

Homophobic bullying (Related to the real or imagined sexuality of your child)

Sexual bullying (Physical, verbal or indirect bullying with a sexual element)

Sexist bullying (Because they are a boy or a girl)

Bullying because of a special education need or disability

Don't know

No, none of these

8. Where does your child say that the bullying usually happens?
Please click ALL that apply

Where does your child say that the bullying usually happens? Please click ALL that apply Walking to or from school

Traveling to or from school on the bus

In the classroom

In the hallway

In the lunchroom

In the locker room

On the playground (during lunch free time)

Through a mobile phone or computer

My child has not been bullied

9. Did you report the bullying to anyone in the school?

Did you report the bullying to anyone in the school? Yes

My child has not been bullied

10. Who did you report the bullying to?
Please click ALL that apply

Who did you report the bullying to? Please click ALL that apply Class teacher

Paraprofessional

Principal

Assistant Principal

Counselor

Playground Supervisors

Resource Officer

Bus Driver

Cafeteria Worker

Custodian

Coach

My child has not been bullied

11. What happened after reporting the bullying?
Please click only ONE box

What happened after reporting the bullying? Please click only ONE box The school took no action to stop the bullying

The school took action to stop the bullying but it carried on as before

The school took action to stop the bullying and it stopped

My child has not been bullied

12. How confident are you that your child's school deals well with bullying?
Please click only ONE box

How confident are you that your child's school deals well with bullying? Please click only ONE box Very confident

Quite confident

Not very confident

Not very confident at all

13. Have you seen a copy of the school's Anti-Bullying Policy?

Have you seen a copy of the school's Anti-Bullying Policy? Yes

14. What do you think would prevent bullying in your child's school?
Please click up to THREE boxes

What do you think would prevent bullying in your child's school? Please click up to THREE boxes Providing a clear definition of what bullying is and that it is unacceptable

More promotion and awareness of the school's Anti-Bullying Policy with all staff, students and parents/caregivers

Make sure children know how to report incidents of bullying

Make sure that parents and caregivers know how to report incidents of bullying

Talk to children in the school through assemblies and lessons about what bullying is and how to stop it

Increase the level of supervision in the play areas and hallways

Punish children who bully others

Give further support to children who are bullied e.g. one-to-one time with a member of staff or a counselor

Give parents and caregivers more information and advice about bullying

Offer peer support in the school (where another pupil provides one-on-one support)

Provide a safe place for children to go if they are worried about bullying

Bullying is not a problem in my child's school

15. Has your child been bullied in your community during the last 12 months?

Has your child been bullied in your community during the last 12 months? Yes, a lot

Yes, a little

Not Sure

16. When did the bullying last happen?

When did the bullying last happen? In the last week

In the last month

In the last term

In the last 12 months

My child has not been bullied in the community

17. Where did the bullying happen?
Please click ALL that apply

Where did the bullying happen? Please click ALL that apply Walking to or from school

Traveling to or from school on the bus

Somewhere where they play e.g. a park, on the street

At a youth club or youth activity

At a school sponsored sporting event

At a non-school sponsored sporting event

Somewhere where they live e.g. in the home, foster family, care home

Via cyber technology e.g. through a phone or computer

My child has not been bullied

18. What type of bullying was it?
Please click ALL that apply

What type of bullying was it? Please click ALL that apply Physical (hitting, kicking, pushing or spitting)

Verbal (name calling, making verbal threats, sending threats by phone or through the internet)

Indirect (spreading rumors, excluding your child, writing nasty graffiti about your child, posting photos or information about your child online)

My child has not been bullied

19. Would you describe the bullying in any of the following ways?
Please click ALL that apply

Would you describe the bullying in any of the following ways? Please click ALL that apply Cyberbullying (Through the computer or mobile phones - text messages, nasty comments online, sending images)

Racist and/or bullying related to religion

Homophobic bullying (Related to the real or imagined sexuality of your child)

Sexual bullying (Physical, verbal or indirect bullying with a sexual element)

Sexist bullying (Because they are a boy or a girl)

Bullying because of a special education need or disability

Don't know

No, none of these

20. Who would you tell if your child was being bullied in the community?
Please click ALL that are true for you

Who would you tell if your child was being bullied in the community? Please click ALL that are true for you No one

A member of school staff

A friend

A family member

Another adult (police officer, youth worker, pastor, etc)

21. What do you think are the best ways to make bullying stop in the community?
Please pick up to THREE answers

What do you think are the best ways to make bullying stop in the community? Please pick up to THREE answers Ensure everyone knows what bullying is and how to stop it

Members of the community should take action if they see bullying

Inform children of available adults they can talk to

Encourage and assist children and young people in joining together to stop bullying

Parents and caregivers join together to stop bullying

Promote websites where you can report bullying and get advice

Provide telephone help lines where you can report bullying and get advice

Parents and Caregivers Anti-Bullying SurveyExit this survey

1. The name of my child's school is:

2. The grade of my child is

3. I am the child's

4. Has your child been bullied in school during the last 12 months?

5. When did the bullying last happen?

6. What kind of bullying was it?Please click ALL that are true for your child

7. Would you describe the bullying in any of the following ways? Please click ALL that are true for you

8. Where does your child say that the bullying usually happens?Please click ALL that apply

9. Did you report the bullying to anyone in the school?

10. Who did you report the bullying to?Please click ALL that apply

11. What happened after reporting the bullying?Please click only ONE box

12. How confident are you that your child's school deals well with bullying?Please click only ONE box

13. Have you seen a copy of the school's Anti-Bullying Policy?

14. What do you think would prevent bullying in your child's school?Please click up to THREE boxes

15. Has your child been bullied in your community during the last 12 months?

16. When did the bullying last happen?

17. Where did the bullying happen?Please click ALL that apply

18. What type of bullying was it?Please click ALL that apply

19. Would you describe the bullying in any of the following ways?Please click ALL that apply

20. Who would you tell if your child was being bullied in the community? Please click ALL that are true for you

21. What do you think are the best ways to make bullying stop in the community?Please pick up to THREE answers

Parents and Caregivers Anti-Bullying Survey
Exit this survey

6. What kind of bullying was it?
Please click ALL that are true for your child

7. Would you describe the bullying in any of the following ways?
Please click ALL that are true for you

8. Where does your child say that the bullying usually happens?
Please click ALL that apply

10. Who did you report the bullying to?
Please click ALL that apply

11. What happened after reporting the bullying?
Please click only ONE box

12. How confident are you that your child's school deals well with bullying?
Please click only ONE box

14. What do you think would prevent bullying in your child's school?
Please click up to THREE boxes

17. Where did the bullying happen?
Please click ALL that apply

18. What type of bullying was it?
Please click ALL that apply

19. Would you describe the bullying in any of the following ways?
Please click ALL that apply

20. Who would you tell if your child was being bullied in the community?
Please click ALL that are true for you

21. What do you think are the best ways to make bullying stop in the community?
Please pick up to THREE answers