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Measuring Bullying, Victimization, Perpetration, and Bystander ...

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2. Where is your school? State____________ School District________________________________<br />

(If you attended a non-public school, please list the name of the school district you live in.)<br />

3. Is your school in a:<br />

Large city (pop’n over 250,000) Suburb of a mid-size city<br />

Mid-size city (pop’n under 250,000) Town (not a major metropolitan area)<br />

Suburb of a large city Rural area<br />

4. Is your school a:<br />

K through 12 school Elementary school<br />

Lower school (elementary <strong>and</strong> middle school grades) Middle school<br />

Upper school (middle <strong>and</strong> high school grades) High school<br />

5. Does your school have a policy or a procedure for reporting incidents of harassment or<br />

assault in school?<br />

Yes No Don’t know<br />

5a. Does this policy specifically mention sexual orientation?<br />

Yes No Not Sure<br />

5b. Does this policy specifically mention gender identity/expression?<br />

Yes No Not Sure<br />

6. In the current school year, were you taught about lesbian, gay, bisexual, or transgender<br />

(LGBT) people, history, or events in any of your classes?<br />

No (Go to 7)<br />

Yes If yes, please check which classes (check as many as apply)<br />

History/Social Studies Foreign Language<br />

Science Music<br />

Health Math<br />

Gym/Physical Education Art<br />

English Other _______________________________________<br />

6a. Overall, in those classes where LGBT topics were taught, do you think the<br />

representations of LGBT people, history, or events were:<br />

Very positive Somewhat positive Somewhat negative Very negative<br />

7. In your school health classes, was discussion about sexual orientation ever included,<br />

such as in discussions of dating, sexuality/sex education, or family relationships?<br />

Yes No Don’t know Not applicable<br />

7a. How positive or negative were representations of LGBT people?<br />

Very positive Somewhat positive Somewhat negative Very negative<br />

7b. In your school health classes, does your school follow an “abstinence-only”<br />

curriculum when teaching sexuality/sex education? For example, were you taught<br />

that you are expected to wait until marriage to engage in sexual activity, or that<br />

sexual activity outside of marriage is likely to have harmful effects on you?<br />

Yes No Don’t know Not applicable<br />

8. Do any of your textbooks contain information about LGBT people, history, or events?<br />

Yes No Don’t know

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