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Bullying Survey for Elementary Students
We want our school to be a bully-free zone, but the adults in this school need your help.
We'd like to hear what you think about bullying so we can work to make our school safe for everyone.
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Please mark your grade level:
2nd grade
3rd grade
4th grade
5th grade
Clear selection
Mark any of these you think are a problem in our school.
Name calling
Mean/hurtful posts online
Rumor spreading
People's stuff being stolen/damaged
Threatening remarks or messages
Physical bullying (hitting, shoving, etc.)
Not including others
Passing around embarrassing photos
Mark the where you witness bullying most often.
During recess
During lunch
In the hallways
In the bathroom
In class
On the bus
Online
Clear selection
Do you think bullying is a problem at our school?
Yes
No
Clear selection
Do you think the adults in our school are aware of bullying?
Yes
No
I don't think bullying is a problem in our school.
Clear selection
Have you or a friend ever been bullied at school?
Yes
No
Clear selection
If you or a friend were bullied, did you tell anyone?
Yes
No
I haven't been bullied at school.
Clear selection
Do you worry about being bullied before, during, or after school?
Yes
No
Clear selection
Is there anything you wish the adults in our school knew?
Your answer
What can the adults in our school do to help stop bullying?
Your answer
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