The ABCs of Bullying
Addressing, Blocking, and Curbing School Aggression

Supplements

Grade 3 Bullying Survey

Directions: Think about each question carefully. Put an X in the box or space that best describes YOU. Please do NOT put your name on this survey.

School:_______________________
Date:____________________
Grade:_____

1. This is how I feel about being at my school:

___Very happy and good
___Sometimes happy and good
___So-so
___Sometimes sad and unhappy
___Very sad and unhappy

2. This is how safe I feel in each of these places:

Very Unsafe Kind of Unsafe So-So Kind of Safe Very Safe
a. in my classroom
b. on the playground
c. in the lunch room
d. walking to/from school
e. in the bathroom
f. in the hall
g. on the bus
h. at the bus stop

3. How often have these things happened to you at school?

Everyday 1 or 2 times a week 1 or 2 times a month 1 or 2 times a year Never
a. teased in a mean way
b. called hurtful names
c. left out of things on purpose
d. threatened
e. hit, kicked, or pushed

For Questions 4-8, mark all that apply.

4. At school, who has:

Both boys & girls A group of boys A boy A group of girls Nobody
a. bullied you
b. said mean things to you
c. teased you
d. called you names
e. tried to hurt you at school

5. In what grade is the student (or students) who bullies you?

___ In my classroom
___ In the same grade, but different class
___ In a lower grade
___ In a higher grade
___ I haven't been bullied

6. When I am bullied, I:

___ Do nothing
___ Tell the bully to stop
___ Get away from the bully
___ Hurt other kids
___ Stay home from school
___ Tell an adult
___ Tell a friend
___ Don't get bullied

7. If you have been bullied, whom have you told?

___ My mother or father
___ My sister or brother
___ A teacher or other adult at school
___ Another student at school
___ Nobody
___ I've never been bullied

8. If you have been bullied, who has tried to help you?

___ My mother or father
___ My sister or brother
___ A teacher or another adult at school
___ Another student at school
___ Nobody
___ I've never been bullied

9. If you have been bullied, what happened after you told someone?

___ It got better
___ It got worse
___ Nothing changed
___ I never told anyone
___ I've never been bullied

10. How often do you hit, kick, or push other children?

___ Every day
___ 1 or 2 times a week
___ 1 or 2 times a month
___ 1 or 2 times a year
___ Never

11. How often do you:

Every day 1 or 2 times a week 1 or 2 times a month 1 or 2 times a year Never
a. say mean things
b. tease others
c. call other children names

12. How often have you seen someone:

Every day 1 or 2 times a week 1 or 2 times a month 1 or 2 times a year Never
a. being teased in a mean way
b. being threatened
c. left out of things on purpose
d. being called hurtful names
e. being hit, kicked, or pushed

13. How often have you noticed bullying going on in these places?

Every day 1 or 2 times a week 1 or 2 times a month 1 or 2 times a year Never
a. in my classroom
b. on the playground
c. in the lunchroom
d. walking to or from school
e. in the bathroom
f. in the hall
g. on the bus
h. at the bus stop
Mark all that apply in 14-15.

14. Who have you seen doing the bullying?

___ Both boys and girls
___ A group of boys
___ A boy
___ A group of girls
___ A girl
___ Nobody

15. What grades are the bullies in?

___ In my classroom
___ In the same grade but in a different class
___ In a lower grade
___ In a higher grade
___ I haven't seen any bullying

16. What is your ethnic group? (optional)

___ Asian
___ Black
___ Hispanic
___ Native American
___ White

17. Are you a boy or a girl?

___ Boy
___ Girl

Thank you for your answers!

Adapted from the Maine Project Against Bullying, http://lincoln.midcoast.com/~wps/against/bullying.html

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