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Bullyingsurvey PDF

The document summarizes a bully survey process that is conducted in elementary schools: - Students in grades 2-5 complete an anonymous survey about their safety and experiences with bullying. - Surveys are tallied by class and any student named 3+ times is placed on a list for staff discussion and potential intervention. - Students on the list may be placed in lunch groups or meet individually with support staff to address bullying behaviors and develop friendship skills.

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Lyra Morallos Pomida
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54 views4 pages

Bullyingsurvey PDF

The document summarizes a bully survey process that is conducted in elementary schools: - Students in grades 2-5 complete an anonymous survey about their safety and experiences with bullying. - Surveys are tallied by class and any student named 3+ times is placed on a list for staff discussion and potential intervention. - Students on the list may be placed in lunch groups or meet individually with support staff to address bullying behaviors and develop friendship skills.

Uploaded by

Lyra Morallos Pomida
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Bully Survey

Children in grades 2nd through 5th are given the survey

Tally the surveys for each individual class

Children are placed on a list if their name appears on


the survey 3 or more times

The staff then discusses the list and puts children into
lunch bunches

The groups meet weekly and have conversations or


activities geared toward bullying behaviors, friendship
skills or both

Some children may meet with a support person (social


worker, psychologist, family liaison) for individual
meetings, or be placed in a more structured group

Provided by the Dakota County Attorneys Office with thanks to Cedar Park Elementary,
Apple Valley, MN
BULLY SURVEY

1. I am a: girl boy
Scared and unsafe Kind of safe Very safe
2. In my classroom I feel:
3. On the playground I feel:
4. In the cafeteria I feel:
5. Going to and from school I feel:
6. Other kids hit, kick or push me:
every day once or twice a week
once or twice a year never

7. Other kids say mean things to me:


every day once or twice a week
once or twice a year never

8. Who has bullied you, said mean things to you, teased you, called you
names, or tried to hurt you at school?
boys and girls several boys
a boy several girls
a girl nobody

9. In what grade is the student or students who bully you?


I havent been bullied in my class
in the same grade as me, but in a different class
in a lower grade in a higher grade
10. If you have been bullied this year, who have you told?
my mother or father
my sister or brother
a teacher or other adult at school
another kid at school
nobody

11. If you have been bullied this year, who has tried to help you?
my mother or father
my sister or brother
a teacher or other adult at school
another kid at school
nobody

12. How often do you hit, kick or push other kids?


every day
once or twice a week
once or twice a month
once or twice a year
never

13. How often do you say mean things, tease or call other kids names?
every day
once or twice a week
once or twice a month
once or twice a year
never
14. How often do you spend recess alone because nobody wants to play with
you?
every day
once or twice a week
once or twice a month
once or twice a year
never

15. List the three kids in your grade whom you most like to do things with:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

16. List the three kids in your grade whom you dont like to spend time with:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

17. List the three kids in your grade who you think most need a friend:

_____________________________________________________________

_____________________________________________________________

_____________________________________________________________

18. Is there anyone in this class you feel is a bully?

_____________________________________________________________

_____________________________________________________________

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