Bullying Survey

An anonymous student survey that helps schools detect bullying situations and gauge how safe students feel in the classroom.

Use this template

What is your name? (optional)

First Name

Last Name

What is your gender?

What is your ethnicity?

1. Do you feel safe at school?

Yes No

2. Have you ever witnessed bullying at school?

Yes No

3. Have you ever been teased at school?

Yes No

4. Have you ever been threatened at school?

Yes No

5. Have you ever been physically hurt in any way at school?

Yes No

6. Have you ever bullied someone?

Yes No

7. Is there violence at your home?

Yes No

10. Could you please tell how you were bullied?

11. What would you do, if you witness bullying?

12. Have you talked to anyone about being bullied?

With a teacher With a parent With a friend With no one

14. Why do you think some students are bullies?

15. What can school authorities do to stop bullying at school?

Related templates

	Column 1	Column 2	Column 3
Row 1
Row 2