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

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D4. Exposure to Violence <strong>and</strong> Violent Behavior Checklist<br />

At school, how often have you been… Never Once Sometimes Often<br />

1. Hit by a student. 1 2 3 4<br />

2. Hit by school staff. 1 2 3 4<br />

3. Kicked or pushed by a student. 1 2 3 4<br />

4. Kicked or pushed by school staff. 1 2 3 4<br />

5. Badly beaten up. 1 2 3 4<br />

6. Threatened with a knife or sharp weapon. 1 2 3 4<br />

7. Attacked with a knife or sharp weapon. 1 2 3 4<br />

8. Threatened with a gun. 1 2 3 4<br />

9.<br />

Verbally or emotionally abused by a student, that is, being called names or having things<br />

said to you that make you feel bad about yourself or afraid.<br />

1 2 3 4<br />

10. Verbally or emotionally abused by school staff. 1 2 3 4<br />

11. Sexually harassed by a student. 1 2 3 4<br />

12. Sexually harassed by school staff. 1 2 3 4<br />

13. Sexually assaulted. 1 2 3 4<br />

14. Robbed. 1 2 3 4<br />

At school, how often have you seen others being … Never Once Sometimes Often<br />

1. Hit by a student. 1 2 3 4<br />

2. Hit by school staff. 1 2 3 4<br />

3. Kicked or pushed by a student. 1 2 3 4<br />

4. Kicked or pushed by school staff. 1 2 3 4<br />

5. Badly beaten up. 1 2 3 4<br />

6. Threatened with a knife or sharp weapon. 1 2 3 4<br />

7. Attacked with a knife or sharp weapon. 1 2 3 4<br />

8. Threatened with a gun. 1 2 3 4<br />

9. Verbally or emotionally abused by a student. 1 2 3 4<br />

10. Verbally or emotionally abused by school staff. 1 2 3 4<br />

11. Sexually harassed by a student. 1 2 3 4<br />

12. Sexually harassed by school staff. 1 2 3 4<br />

13. Sexually assaulted. 1 2 3 4<br />

14. Robbed. 1 2 3 4<br />

15. In a fight after drinking or getting high. 1 2 3 4<br />

In your neighborhood, how often have you been … Never Once Sometimes Often<br />

1. Hit. 1 2 3 4<br />

2. Kicked. 1 2 3 4<br />

3. Pushed or shoved. 1 2 3 4<br />

4. Badly beaten up. 1 2 3 4<br />

5. Threatened with a knife or sharp weapon. 1 2 3 4<br />

6. Attacked with a knife or sharp weapon. 1 2 3 4<br />

7. Threatened with a gun. 1 2 3 4<br />

8. Shot at. 1 2 3 4<br />

9. Verbally or emotionally abused, that is, being called names or having things<br />

said to you that make you feel bad about yourself or afraid.<br />

1 2 3 4<br />

10. Sexually harassed. 1 2 3 4<br />

11. Sexually assaulted. 1 2 3 4<br />

12. Robbed. 1 2 3 4

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