Please answer the following questions based on observations and experiences you have had in our school and with our students. Use the following definition of bullying to answer the questions.

Bullying is defined as intimidation or harassment of a student or students brought about by individuals or groups. It involves the following 4 markers: an imbalance of power, intent to harm, repeated over time, and intent to intimidate and maintain dominance. Bullying includes but is not limited to: physical actions (violence, gestures, theft, or damaging property); oral or written taunts (name-calling, put downs, threats, or extortion); or threats of retaliation for reporting such acts.

Bullying may also include cyberbullying or cyberthreats. Cyberbullying is sending or posting harmful or cruel text or images using the internet or other digital communication devices. Cyberthreats are online materials that threaten or raise concerns about violence against others, suicide, or self-harm.

* 1. Your Child's Grade:

* 2. School Building:

* 3. Are you aware of the Sikeston Public Schools' Bullying Policy?

* 4. Overall, do you believe this is a safe school?

* 5. How often has your child reported being bullied this year at school?

* 6. Please mark the type of bullying your child has reported this year at school.

Please check all that apply:

* 7. Please mark the places at school where your child has been bullied this year.

Please check all that apply:

* 8. Overall, how would you rank the problem of bullying at your child's school?

* 9. Overall, how well do teachers/staff deal with bullying at school?

* 10. Do you believe your child is safe from students who bully at school?

* 11. Do you think students who bully are ever admired or liked at school?

* 12. Do you think students know how to report bullying?

* 13. Are students willing to report bullying at school?

* 14. Comments:

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