Please answer these questions as honestly as possible so that we can work together to eliminate bullying in our school. You can sign the questionnaire or leave it blank, but please make sure you write down which year group your child is in. Please only report on any incidents of bullying which have happened since the last questionnaire in November 2017. It is important that we have as many of these questionnaires returned as possible to give us a true picture of what is happening in school. Thank you.

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* 1. How frequent have incidents occurred?

  Never Sometimes Often Always Not applicable
Has your child ever been bullied at this school?
Does your child ever feel afraid to go to school because of bullying?
Has your child ever bullied somebody else?
Has your child ever been bullied outside of school?
If your child has been bullied in school, has somebody dealt with the bullying?
Does our school take bullying seriously?

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* 2. Do you know what to do if your child is being bullied?

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* 3. Does our school teach your child what to do if they are being bullied?

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* 4. If your child has been bullied, what form did the bullying take?

 
Teasing
Name calling
Threats
Being hit/hurt
Being left out
Cyber bullying via computer and/or mobile phone
Racist comments
My child has not been bullied.

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* 5. If your child has been bullied, why do you think they were bullied?

 
Height
Weight
Colour or race
Religion
The clothes they wear
Because they have a disability
I don’t know
My child has not been bullied.

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* 6. If your child has been bullied, where were they bullied?

 
Classroom
Playground
Corridor
Hall/ dining room
Toilets
My child has not been bullied.

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* 7. If your child has been bullied, when were they bullied?

 
Start of the day
Playtime
Lesson time
Dinner time
Home time
Outside of school
My child has not been bullied.

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* 8. If your child has been bullied, who bullied them?

 
Boy
Girl
Someone from my child’s class
An adult
Somebody not from our school
My child has not been bullied.

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* 9. Is there anything else you would like to say or to tell us about bullying in our school?

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