1. Default Section

1. You are:

2. What is your age?

3. Where did you attend school?

4. How old were you when you were first bullied?

5. What kind(s) of bullying did you experience?

6. Did you tell anyone?

7. If yes, who?

8. Did they help you?

9. Did anyone witness the bullying? (If no, skip to Q10.)

10. If yes, who?

11. If yes, did they intervene?

12. Did it help?

13. Did you change schools because of bullying?

14. Did you drop out?

15. Have the effects of bullying influenced your life?

16. Do you wish you had done anything differently?

17. Is there any advice, words of wisdom and/or lessons learned that you can share with kids who are being bullied now?

We thank you for sharing your experience and contributing to helping others.