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Bullying Survey

DIRECTIONS: Please circle or underline the best answers to the following questions. You may have more than one best answer for some questions. You do not have to put your name on the paper.

Name (optional)__________________

1.  Have you ever been bullied?
Yes      No

2.  Have you seen other students being bullied at school?
Yes      No

3.  What kinds of things have bullies done to you or to someone you know?
Called names      Threatened      Stole or damaged something      Shoved, kicked, or hit      Ignored

4.  How much of a problem is bullying for you?
Very much      Not much      None

5.  On the back of this paper, list some of the actions you think parents, teachers, and other adults could perform to stop bullying.

Adapted from a survey by The National Crime Prevention Council.

© 2000 by Education World®. Education World grants teachers permission to reproduce this work sheet for educational purposes only.