This survey should take approximately 10 minutes to complete. Participation is voluntary, meaning you can stop taking the survey at any time and can skip any questions you do not feel comfortable answering. Your answers will remain anonymous, meaning we will not ask for your name or any information that can identify who you are.

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* 1. What grade are you in?

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* 2. What is your gender?

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* 3. How many times have you been bullied in the past couple of months? (Pick your best answer.)

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* 4. If you have been bullied, in what ways were you bullied? (Pick all of the answers that are true for you.)

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* 5. If you have been bullied during the past couple of months at school, where has the bullying occurred? (Pick all of the answers that are true for you.)

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* 6. How often have you taken part in bullying another student(s) at school in the past couple of months? (Pick your best answer.)

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* 7. How often do the teachers or other adults at school try to put a stop to bullying when a student is being bullied? (Pick your best answer.)

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* 8. How often do other students try to put a stop to it when a student is being bullied at school? (Pick your best answer.)

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* 9. If you have been bullied during the past couple of months at school, did you tell anyone what happened? (Pick your best answer.)

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