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

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5a. Why do you think you were bullied? Check all that are true. Because:<br />

they think my face looks funny<br />

they think I’m fat<br />

they think I’m skinny<br />

they think I look too old<br />

they think I look too young<br />

they think I am a wimp<br />

they think my friends are weird<br />

I’m sick a lot<br />

I’m disabled<br />

I get good grades<br />

I get bad grades<br />

where I live<br />

the clothes I wear<br />

the color of my skin<br />

the country I’m from<br />

I am different<br />

5b. From the list above, circle the MAIN reason you were bullied.<br />

the church I go to<br />

my parents<br />

my brother<br />

my sister<br />

my family is poor<br />

my family has a lot of money<br />

someone in my family has a disability<br />

I am too tall<br />

I am too short<br />

I am in special education<br />

I get angry a lot<br />

I cry a lot<br />

I can’t get along with other people<br />

they say I’m gay<br />

the way I talk<br />

other (describe) ____________________________<br />

___________________________________________<br />

6. Did the teachers <strong>and</strong> school staff know about the bullying that happened to you?<br />

Yes No I don’t know<br />

7a. How do you think your teachers <strong>and</strong> school staff took care of the bullying?<br />

Very well Okay Bad I don’t know<br />

8. Tell us what the teachers <strong>and</strong> school staff did to take care of the bully.<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

9a. Did your parents know about the bullying that happened to you?<br />

Yes No I don’t know<br />

9b. Tell us what your parents did to take care of the bullying.<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

10. Were you able to defend yourself from the bullying?<br />

Yes No<br />

Explain:<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

_______________________________________________________________________________________<br />

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