Bullying Survey


Bullying Survey

We are A.S.A.B. (All Students Against Bullying) Our goal is to end bullying, make schools respond more effectively to harassment situations, and bring forth state and federal laws to prosecute bullies.

**Please do NOT put your name. This is an anonymous survey.**

(If you would like to write anything, there will be room at the end. If you have questions, you may put your name. If not, please don’t.)

 

Grade (number):_______________                             Gender (m/f):_______________

 

1)      Have you ever been bullied?

a)      yes

b)      no

2)      Have you ever bullied anyone? If so, why?

a)      yes

b)      no

c)      sort of

Why:_________________________________________________________________________________________________________________________________________________________________________________________________

 

3)      Have you helped someone who was in a bullying situation?

a)      yes

b)      no

c)      I got an adult to help

4)      Do you know someone who is or has been bullied?

a)      yes

b)      no

5)      Do you thinkOakridgeHigh Schoolcovers bullying effectively?

a)      yes

b)      no

c)      other(specify)___________________________________________________________________________________________________________

 

6)      How would you respond to a bullying situation? (write your opinion)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

7)      Do your friends pick on or bully people around you?

a)      yes

b)      no

c)      sometimes

 

 

 

 

 

8)      Do you think an after school anti-bullying group would help students who are bullied or bullies themselves?

a)      yes

b)      no

c)      other(specify)___________________________________________________________________________________________________________

 

9)      If Oakridge had an after school anti-bullying group, would you attend?

a)      yes

b)      no

c)      I would try to

d)      Other(specify)____________________________________________________________________________________________________________

10)  Have you ever thought of suicide because of bullying, or just in general?

a)      Yes (bullying)

b)      Yes (in general)

c)      No to either

d)      It’s crossed my mind once or twice but I’ve never really contemplated it

11)  Have you been to a counselor because of bullying?

a)      Yes

b)      No

c)      I’ve been to a counselor but not because of bullying

d)      I’ve considered it

12)  Would you go to a counselor because of bullying?

a)      Yes

b)      No

c)      Maybe/I have to think about it

13)  Are you or have you been on any anti-depressants because of bullying or just in general?

a)      Yes (bullying)

b)      Yes (in general)

c)      No

d)      I will/might be on them in the future

e)      Prefer not to answer

14)   Do you feel safe at Oakridge? If not, why?

a)      Yes

b)      No (specify) ____________________________________________________________

c)      Sometimes (specify) ____________________________________________________________

Comments, questions, or concerns:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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