
1. How do you feel about coming to this school?
(a) I hate it (b) I don't mind it (c) It's OK (d) I like it (e) I really like it
2. Do you feel comfortable in this school?
(a) Never (b) Sometimes (c) Most of the time (d) All of the time
3. Do you have good friends at this school?
(a) None (b) One or two (c) Two or three (d) Lots
4. How often have you seen bullying in this school?
(a) Never (b) Once or twice a month
(c) Once or twice a week (d) Nearly every day
5. How often have you been bullied at this school in the last three months?
(a) Never (b) Once or twice a month
(c) Once or twice a week (d) Nearly every day
6. When did it happen? (You may circle more than one answer.)
(a) I haven't been bullied (b) Before/after school (c) Between classes
(d) In class time (e) Recess/lunch time . . . . . .
If you've been bullied ...
7. Where did it happen?
8. In what ways were you bullied?
9. Who bullied you?
10. How did it affect you?
11. What did you do?
12. If you told a parent or a teacher about bullying, what happened?
13. Do you bully others?
(a) Not at all (b) Sometimes
(c) Often (d) All the time
14. Do you believe that Year 7 students coming to our school next year have reason to be fearful of being bullied?
(a) Definitely not (b) Maybe a little (c) Yes, they should be worried about it
15. How satisfied are you with the way this school deals with bullying?
(a) Very satisfied (b) Fairly satisfied
(c) The school could do a lot more (d) The school is not effective at all
16. How would you feel about this school running a program to try to stop bullying?
(a) Not a good idea (b) I don't mind
(c) A good idea (d) A very good idea
17. What do you think would be some good ways to try to stop bullying at this school?
Thank you very much for your participation.
Adapted from C Griffiths 1993