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Schoolwide Bullying Survey
Please tell us if there is anyone bullying you. This information is confidential. Thank you for taking a positive stand in helping stop bullying in our school.
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What is your name?
Your answer
What grade are you in?
6th grade
7th grade
8th grade
Do you feel safe at school?
Yes
No
Sometimes
Have you ever been bullied at school?
Yes
No
If you have been bullied at school, did you tell anyone about the bullying and seek help? If not, please explain why.
Your answer
Are you being bullied at school now? If so, explain how and where.
Your answer
Do you know anyone that is being bullied at school and not getting help at this time? If so, who and what happened?
Your answer
Please tell us who the bullies are in your grade so we can get the bullying stopped. Also, please explain why they are a bully.
Your answer
What do you think will help stop bullying in our school? Ideas or suggestions?
Your answer
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