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Bullying Survey

1. What grade(s) is/are your child/children in at school?

PreK/Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade

2. There has been a lot in the news about the kinds of serious problems children face these days. When you think about your child's school, are you concerned or afraid that your child might be ..... physically attacked or hurt by a student or group of students?

3. ... the target of rumors or gossip?

4. ... verbally harassed or embarrassed at school?

5. ... made fun or, or left out, by other students?

6. My child feels safe at school?

7. My child feels safe on his/her way to and from school?

8. How often do you think bullying behaviors occur at school?

9. How much of a problem is bullying at our school?

10. If your child has been bullied, where did it happen? (check all that may apply)

Classroom
Hallways
Locker Room
Bathrooms
Playground
Cafeteria
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.
Not applicable

11. When is your child most at risk for bullying?

Before school
During class
Between classes
Lunch
Recess
After school
Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.
Not applicable

12. During this past school year, has your child been .......

Physically bullied at school
Verbally bullied by insults or threats at school
Socially bullied at school by being left out or by having rumors or gossip spread about him/her
Bullied using the internet, email, phone or text messages
Exclusive / None of the above

13. During this past school year, has your child stayed away from school to avoid being bullied?

14. If a child complained to an adult at your child's school about being bullied, how confident do you feel that something would be done about it?

15. If in the past your child was the target, or showed bullying behaviors, were you satisfied with how the incident was handled at school?

16. I am satisfied with the steps my child's school has taken to prevent bullying among students.

17. Do you have any additional comments you would like to share in regards to bullying/anti-bullying here at SCCS?

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