Exit this survey 2014 Anti Bullying Questionaire Grades 3 and 4 Question Title * 1. What grade are you in? 3rd 4th Question Title * 2. Who is your teacher? Question Title * 3. I am a girl boy Question Title * 4. This is how I feel about Green-Fields I like it here. It's ok. I don't like it here. Question Title * 5. Most of the time, this is how I feel when I am coming to school in the morning: Happy OK Unhappy Question Title * 6. This is how much I like the children in this class: I like them a lot. The other kids are ok. I don't like them at all. Question Title * 7. In this class, I feel happy: most of the time sometimes never Question Title * 8. In this class, I feel interested: most of the time sometimes never Question Title * 9. In this class, I feel sad: never sometimes most of the time Question Title * 10. In this class, I feel bored never sometimes most of the time Question Title * 11. In this class, I feel angry: never sometimes most of the time Question Title * 12. In this class, I feel lonely never sometimes most of the time Question Title * 13. The children in this class like me: a lot ok not very much Question Title * 14. The students in this class respect me: a lot ok not very much Question Title * 15. The children in this class like each other: a lot ok not very much Question Title * 16. The students in this class respect each other: a lot ok not very much Question Title * 17. The adults in this school care about me: a lot ok not very much Question Title * 18. There is a at least one adult at school that I can go to for help if something is bothering me. Yes No Not sure Question Title * 19. Please give the name of an adult that you can go to for help if something is bothering you. If you are not sure then write "not sure". If you do not feel comfortable with any adults at school write "none". Question Title * 20. How often does another child in your class say something nice to you? a lot sometimes never Question Title * 21. How often does another child in your class says something mean to you? never sometimes a lot Question Title * 22. How often does another child in your class tease you? never sometimes a lot Question Title * 23. How often does another child from your class exclude you or leave you out? never sometimes a lot Question Title * 24. How often do you say something nice to someone in your class? a lot sometimes never Question Title * 25. How often do you say something mean to someone in your class? a lot sometimes never Question Title * 26. How often do you tease someone in your class? never sometimes a lot Question Title * 27. How often do you exclude someone or leave someone out in your class? never sometimes a lot Question Title * 28. How often is another child mean to you on the bus? never sometimes a lot Question Title * 29. How often does another child on the bus tease you? never sometimes a lot Question Title * 30. How often does another child tell you that you can't sit with him or her on the bus? never sometimes a lot Question Title * 31. How often is another child mean to you at recess? never sometimes a lot Question Title * 32. How often does another child tease you at recess? never sometimes a lot Question Title * 33. How often does another child not allow you to play with them at recess? never sometimes a lot Question Title * 34. This is how safe I feel on the playground: very safe ok not safe Question Title * 35. This is how safe I feel in the classroom: very safe ok not safe Question Title * 36. This is how safe I feel in the hallways: very safe ok not safe Question Title * 37. This is how safe I feel on the bus: very safe ok not safe Question Title * 38. This is how safe I feel in the cafeteria: very safe ok not safe Question Title * 39. To make your classroom happier, how important do you think it would be for people to stop "name calling"? Important Not Important I don't hear people in my class "name calling". Question Title * 40. To make my classroom happier, how important do you think it is to stop excluding or leaving others out? Important Not Important I don't think people in my class exclude others or leave people out. Question Title * 41. To make my classroom happier, how important do you think it is for students to stop teasing each other? Important Not Important I haven't noticed kids in my class tease others. Question Title * 42. How many true friends do you have? Question Title * 43. As you are finishing this survey, check any feelings that you have now: happy interested sad bored angry lonely Done