Bullying questionnaire

Tell us about bullying

Q.1 Gender

□ Male

□ Female

Q.2 How old are you?

Q.3 Have you ever been bullied?

□ No, I have never been bullied.

□ Yes, I have been bullied a little bit.

□ Yes, I have been bullied a lot.

Q.4 When were you bullied?

□ I have never been bullied

□ A long time ago

□ Last year

□ Last term

□ Last month

□ Last week

Q.5 What kind of bullying was it?

You can enter some information about this question here.

□    I have never been bullied

□    Called names

□    Left out or excluded by other children

□    Punched or pushed

□    Nasty stories told about me

□    Asked to give up money or belongings

□    Being sent nasty text messages or emails

□    Forced to do something I didn’t want to do

□    Teased about the way I look

□    Called gay (whether or not it’s true)

□    Because of my religion

□    Because of my ethnicity or race

□    Other:

Q.6 Where did the bullying happen?

□        I have never been bullied

□        In a classroom

□        In the corridors

□        In the dinner hall

□        In the playground

□        On the way to or from school

□        Other:

Q.7 Who did you tell that you were being bullied?

□        I have never been bullied

□        I told no-one

□        An adult at school

□        Another adult

□        A friend

□        An older boy or girl

□        My parent or carer

□        My brother/sister

□        A peer supporter

□        I phoned a helpline

□        Other:

Q.8 What happened then?

□        I have never been bullied

□        Something was done that stopped the bullying

□        Something was done but it didn’t stop the bullying

□        Something was done but it made the bullying worse

□        Nothing was done but the bullying stopped anyway

□        Nothing was done and the bullying carried on

□        Other:

Q.9 What else did you do about being bullied?

□        I have never been bullied

□        I fought back

□        I stuck up for myself without fighting

□        I took no notice

□        I tried to keep away from the bullies

□        I stayed away from school

□        I dealt with it myself

□        I made new friends

□        I did nothing

□        Other:

Q.10 If you have been bullied and you told someone…

What did they do that was helpful?

Q.11 If you have been bullied and you told someone…

What would you like them to have done differently?

Q.12 Do you know about your school’s anti-bullying policy?

□        Yes

□        Sort of

□        No

Q.13 Do you think what your school does about bullying is working?

□        Yes

□        In some ways

□        No

Q.14 What else do you think your school could do to stop bullying?

Q.15 Is there anything else you want to tell us about bullying?

Thank you for answering these questions.