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* 1. Have you been bullied at Mesa View this year?

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* 2. Please check the location(s) where you have been bullied at Mesa View. (Check all that apply)

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* 3. Have any of your friends been bullied at Mesa View this year?

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* 4. Please check the location(s) where your friend(s) have been bullied at Mesa View. (Check all that apply

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* 5. This survey is confidential. If you have been bullied, please provide the name of the student(s) who have bullied you. This is specific to you. Do not add names of students if they did not bully you personally.

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* 6. If you or your friends have been bullied, what are some specific things bullies have done to you?

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* 7. Please rank Mesa View's supervision this year.

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* 8. Please check the box of any/all areas that need better supervision.

  a.m. between periods nutrition lunch after school
Restrooms
C-Hallway
F-Hallway
6th grade area
PE area
quad
The road to school
Parking lot
Lunch time fields
Locker rooms
Class rooms

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* 9. Please describe the way that the Mesa View Campus feels to you.

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* 10. Do you want someone to talk to you about dealing with bullies?

T