Bullying Survey

Bullying Survey
What is your name? (optional)
First NameLast Name
What is your gender?
What is your ethnicity?
Questionnaire
1. Do you feel safe at school?
2. Have you ever witnessed bullying at school?
3. Have you ever been teased at school?
4. Have you ever been threatened at school?
5. Have you ever been physically hurt in any way at school?
6. Have you ever bullied someone?
7. Is there violence at your home?
8. How often are you bullied at school?

1
2
3
4
5
1 is Never, 5 is Everyday
9. How often do you bully the others?

1
2
3
4
5
1 is Never, 5 is Everyday
10. Could you please tell how you were bullied?
Other
11. What would you do, if you witness bullying?
Other
12. Have you talked to anyone about being bullied?
Other
13. Please indicate the places, where bullying occurs the most
Rows Never Sometimes Often Very Frequent I don't know
Hallway
Restrooms
School Bus
Lunchroom
Gym
Social Media
14. Why do you think some students are bullies?
15. What can school authorities do to stop bullying at school?
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