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Bullying Survey: Students
Answer questions as honestly as you can. Check the boxes or fill in the blanks to tell us your ideas about what you believe is happening at River View.

Student 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 at our school.
1.
What is your gender?
Boy
Girl

2.
What grade are you?
7th
8th
9th
10th
11th
12th

3.
Have you seen or heard of incidents of bullying at this school during the past month?
Yes
No

4.
Based on what you have seen and heard, rank order the types of bullying in order of frequency. (One being the most frequent.)
(Rank responses from 1 to 6.)
1
2
3
4
5
6

5.
Rank order where you feel bullying is most likely to occur at our school.
(Rank responses from 1 to 9.)
1
2
3
4
5
6
7
8
9

6.
If you have been the victim of bullying, please describe the incident:
(Provide up to three responses.)

7.
Overall, how would you rank the problem of bullying at school?
Intolerable
Irritating
No problem

8.
How well do adults deal with bullying at school?
Well
Adequately
Poorly

9.
Do you feel students are safe from bullies at school?
Yes
No
Unsure

10.
Do you think bullies are admired or liked at school?
Yes
No
Unsure

11.
Do you think students know how to report bullying?
Yes
No
Unsure

12.
Are students willing to report bullying at school?
Yes
No
Unsure

13.
Are students willing to report bullying problems to school officials?
Yes
No
Unsure

14.
Have you yourself bullied someone? (Review the definition of bullying at the top of the page.)
Never
2 to 4 times
5 to 9 times
10 or more times

15.
What kinds of bullying did you do?
(Select all that apply.)
Called names
Threatened
Stole or damaged something
Shoved, kicked, or hit
Ignored or excluded somewhat
Other Please describe: