United Against Bullying Consent

In order to make sure that we are doing all we can to prevent and reduce bullying and to improve pupil wellbeing, we want to find out the levels of bullying in our school and to find out how our pupils feel about school. For this reason, we are inviting all pupils at our school to complete an anonymous survey in Term 1. We will then ask pupils to complete the questionnaire again in Term 3 to see if the changes made have had an impact. 

Please complete the following Google Form to declare whether you do/ do not give consent for your child to be invited to complete the questionnaire.

Thank you for your support.


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1) Child's Full Name
2) Year Group
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3) Parent/ Carers Name
4) I give consent for my child to be invited to complete the questionnaire
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4) Today's Date
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