Skip to content
ALL RISE
About You
*
1.
Are you male or female?
(Required.)
Male
Female
*
2.
What is your age?
(Required.)
8 or younger
9 - 12
13 - 18
19 - 25
26 - 35
36 - 45
46 - 60
60 and above
3.
What country do you live in?
*
4.
Do you live
(Required.)
Alone
With Family, Partner or Relatives
With Friends
School or College Institution
*
5.
How many hours would you spend online per day?
(Required.)
Less than 1 hour
1 - 2 hours
3 - 5 hours
6 - 9 hours
10 and above
*
6.
How many different devices do you access the Internet?
(Required.)
1
2
3
4
5 or above
*
7.
Have you ever been bullied?
(Required.)
Yes
No
*
8.
Have you seen bullying spread outside of the school yard/ workplace?
(Required.)
Yes
No
*
9.
Have you ever been cyber abused?
(Required.)
Yes
No
*
10.
Have you ever been called a derogatory name on the internet?
(Required.)
Yes
No
*
11.
Have you ever been intimidated / stalked or harassed on the internet?
(Required.)
Yes
No
12.
Has anyone commented in such a way that has made you feel sad, depressed, lonely, isolated, wanting to self harm?
Yes
No
*
13.
Has information, pictures, media about you been published on the internet without your consent?
(Required.)
Yes
No
*
14.
How many people in your life have you told that you have been harmed on the internet?
(Required.)
0
1 - 3
4 - 6
7 or above
*
15.
Have you ever seen, witnessed or are aware of this happening to someone else?
(Required.)
Yes
No
16.
If so how many occasions?
0
1 - 5
6 - 10
11 - 19
20 or above
17.
Which is the most common forum that this occurs in? (Select as many as are relevant)
Social media sites ie: facebook, twitter
Blogsites
Media sites
*
18.
What would you do if witnessing cyber abuse?
(Required.)
Nothing
Dis-like or remove yourself from that thread or group
Step in and say this is not ok
Report to relevant person/authorities
Join in and add to the abuse
19.
Which do you consider worse – Abuse face to face or abuse online?
Abuse face to face
Abuse online
Equal
Neither
Why (please specify)
20.
Do you feel freedom of speech is freedom to abuse?
Yes
No
Why (please specify)
21.
Is there anything else you’d like to say about Cyber Abuse?