* 1. How concerned are you about bullying at this school ?

* 2. During the past school year, how many times, if any, has someone used cell phones or the Internet to say or post hurtful things about you?

* 3. During the past year, how many times, if any, has someone left you out of or wouldn't let you join in activities on purpose?

* 4. During the past year, how many times, if any, has someone threatened you with harm?

* 5. During the past year, how many times, if any, has someone pushed you, shoved you, tripped you, or spit on you?

* 6. During the past year, how many times, if any, has someone spread rumors about you?

* 7. During the past year, how many times, if any, has someone made fun of you, called you names, or insulted you?

* 8. In the past year, how often have you reported to an adult seeing someone bullied or harassed by other students?

* 9. What stops most students from reporting bullies or acts of harassment to adults?

* 10. How safe do you feel in coming to Woodstown High School next year?

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