The Prevalence of Bullying: A Survey

Adapt the following questions to be age-appropriate for your students. Ask students to respond to them in a confidential manner.

1. How many times have you been bullied?
   1. 0
   2. 1 – 2
   3. 3 – 5
   4. 6 or more
2. How were you bullied?
   1. Called names
   2. Teased or laughed at
   3. Threatened
   4. Left out of an activity
   5. Hit/kicked/pushed
   6. Had property stolen
   7. Had property damaged
   8. E-mail/instant messenger
   9. Been the target of rumors
   10. Been the target of lies
   11. Been the target of inappropriate touching
   12. Other
3. Who did you go to for help?
   1. No one
   2. Teacher
   3. Parent
   4. Friend
   5. Other
4. Where does bullying happen most?
5. When does bullying happen most?
6. How could bullying be stopped here at school?