District Bully Survey 9-12

The purpose of this survey is to get your opinion about bullying on your campus. Your name is not required on this survey and your answers are kept confidential.

Please answer truthfully to the questions asked of you because your district and school will use this information to continue to develop their anti-bullying program.

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* 1. What school do you attend?

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* 2. Are you male or female?

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* 3. What grade are you in?

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* 4. Have you been bullied by other students since you have been in high school?
(please mark all that apply)

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* 5. Have you seen or heard about another student being bullied? These are situations in which you were not the victim or the bully, but you witnessed or knew the act was going on. (please mark all that apply)

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* 6. Think of the last time you saw or heard another student being bullied, what did you do?
(please mark all that apply)

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* 7. Where does bullying occur? (please mark all that apply)

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* 8. When you last saw bullying, how did you feel about getting involved?
(please mark all that apply)

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* 9. How can staff prevent bullying at your school?

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* 10. How can students prevent bullying at your school?

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* 11. What can you personally do to help stop bullying at your school?

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