The following is a Bullying Survey for Joplin students. The information gathered in this survey is confidential and will be used for informational and planning purposes only. We appreciate your participation in helping us make Joplin Schools the safest school district in Missouri!

Bullying as defined in this survey refers to a person using aggressive behavior to force or coerce another person to do something. It can include verbal harassment and/or physical assault and may be directed repeatedly towards particular victims, perhaps on grounds of race, religion, gender, sexuality, or ability.

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1. I am a

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2. I am a

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3. I attend

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4. During the last week, how many times, if any, has someone made fun of you, called you names, or insulted you, while at school?

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5. During the last week, how many times, if any, has someone spread rumors about you, while at school?

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6. During the last week, how many times, if any, has someone pushed you, shoved you, tripped you, or spit on you, while at school?

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7. During the last week, how many times, if any, has someone threatened you with harm, while at school?

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8. During the last week, how many times, if any, has someone tried to make you do things you did not want to do, for example, give them money or other things, while at school?

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9. During the last week, how many times, if any, has someone destroyed your property on purpose, while at school?

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10. Where does bullying take place most often at your school?

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11. During the last week, how many times, if any, has someone used cell phones or the Internet to say or post hurtful things about you?

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12. Do you believe that bullying is a problem in your school?

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13. If you saw someone being bullied at school, would you do something about it?

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14. If you were being bullied at school, do you have friends at school who would help you?

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15. I feel comfortable talking to an adult in this building if I am being bullied.

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16. When I have told an adult at this school that I was bullied, they were helpful?

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17. My school needs to do more to prevent bullying?

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18. What can we do to make you feel safer in your school?

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19. I have been trained in "Stop, Walk,Talk"?

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20. I have used "Stop, Walk, Talk"?

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21. If you have used "Stop, Walk, Talk", tell us how it worked for you.

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