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

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C12. School Relationships Questionnaire
Age: ___ ___ Gender: male / female
ID number: ___ ___ ___ School:________________________________________________
This questionnaire asks about your relationships with other pupils at school. All of the questions refer to
experiences you have had since the start of this school year (i.e., since the end of the summer holidays
in September). Please answer all of the questions as honestly as possible.
If you have any queries, please raise your hand and ask. If at any point you do not wish to continue with
the questionnaire, please stop.
This questionnaire is completely confidential and anonymous. The information that you give will not be
seen by any other pupils or teachers. You will not be asked for your name, or anybody else’s.
Section 1. Direct Aggression Received
This section asks you about any bullying behavior that you have received.
We would like to find out about any bullying behavior that may have happened to you since the start of
this school year (i.e., since the end of the summer holidays in September).
Please answer the following questions as honestly as possible.
What has happened to you since the start of this school year?
Please circle the answer that best fits your experience. For example: yes no
a. Have you ever had personal belongings taken?
If yes, how often has this happened?
yes no
Not very often Often Very often
(1-3 times) (more than 4 times) (at least once a week)
b. Have you been threatened / blackmailed?
If yes, how often has this happened?
yes no
Not very often Often Very often
(1-3 times) (more than 4 times) (at least once a week)
c. Have you been hit or beaten up?
If yes, how often has this happened?
yes no
Not very often Often Very often
(1-3 times) (more than 4 times) (at least once a week)
d. Have other things happened to you?
If yes, how often has this happened?
yes no
Not very often Often Very often
(1-3 times)
Please describe.
(more than 4 times) (at least once a week)
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