. I feel safe from physical harm, intimidation or threats.
. I feel safe from persistent teasing; rumor spreading; cyber-bullying; or other behaviors that could be emotionally hurtful.
. My teachers treat me with respect.
. Other students treat me with respect.
. Use of profanity (swear words) is a problem.
. I have observed other students being bullied.
. I have observed other students being harassed.
. I have been harassed.
. If you have been bullied or harassed, what methods were used?
. If you have seen someone being bullied or harassed, why were they being targeted? Check all that apply.
. I have participated in bullying or harassment in these ways. Check all that apply.
. If I were being bullied or harassed at school, I would talk to a staff member (teacher, administrator, counselor, custodian, cook, etc) for help.
. If I talk to staff members about these kinds of problems, I think they would listen and do things that help me feel supported.
. There is a way (a form or procedure students know about) for reporting harassment or bullying at my school that I know how to use if I needed or wanted to report an incident.
. When is bullying or harassment most likely to occur?
. Where is bullying or harassment most likely to occur? Check all that apply.