Answer questions as they relate to you. For most answers, check the boxes most applicable to you or fill in the blanks.
Adult Survey
Bullying is any repeated, intentional act by a more powerful person which causes embarrassment, pain, or discomfort. Please answer the following questions based on observations and experiences you have had in our school and with our students.
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Grade(s) you work with/your child's grade(s)
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Have you seen or heard of incidents of bullying at this school during the past month?
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Based on what you have seen and heard, rank order the types of bullying in order of frequency. (One being the most frequent.)
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(Rank responses from 1 to 6.)
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1
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2
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3
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4
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5
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6
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Rank order where you feel bullying is most likely to occur at our school.
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(Rank responses from 1 to 9.)
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1
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2
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3
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4
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5
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6
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7
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8
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9
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If your child has been the victim of bullying, please describe:
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(Provide up to three responses.)
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Overall, how would you rank the problem of bullying at school?
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How well do adults deal with bullying at school?
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Do you feel students are safe from bullies at school?
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Do you think bullies are admired or liked at school?
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Do you think students know how to report bullying?
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Are students willing to report bullying at school?
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Are students willing to report bullying problems to school officials?
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Have you yourself used bullying behavior with students/your children as a means of discipline? (Review the definition of bullying at the top of the page.)
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