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

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100<br />

6. Which of the following do you most closely identify as your religious affiliation or preference?<br />

Baptist Buddhist Catholic Christian-Nondenominational<br />

Eastern Orthodox Episcopalian/Anglican Hindu Jehovah’s Witness<br />

Jewish Lutheran Methodist Mormon<br />

Muslim Pentecostal/Charismatic Presbyterian Seventh-Day Adventist<br />

Unitarian/Universalist None Other________________________________<br />

7. How old are you?___________<br />

8. Did you attend school during this school year?<br />

Yes 8a. What grade are you currently?_______________<br />

No 8b. When was the last time you attended school? _________ ___________<br />

9. What is your zip code? _________________ (format: 99999)<br />

10. Did you participate in GLSEN’s 2003 National School Climate Survey?<br />

Yes No Not sure<br />

(Month) (Year)<br />

Scoring Instructions<br />

Primarily, data have been reported at the individual item level. Mean scale scores can be used for<br />

various subsections (simple arithmetic<br />

Developer’s Contact Information<br />

mean).<br />

Joseph G. Kosciw, PhD<br />

Gay, Lesbian, Straight Education Network<br />

References<br />

90 Broad Street, 2nd Floor<br />

Kosciw, J. G., & Diaz, E. M. (2006). The 2005<br />

New York, NY 10004<br />

National School Climate Survey: The experiences of<br />

Tel: 212-727-0135<br />

lesbian, gay, bisexual <strong>and</strong> transgender youth in our<br />

jkosciw@glsen.org<br />

nation’s schools. New York: GLSEN.

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