Bullying

Hello:
You are invited to participate in our survey Covert Bullying Project. In this survey, you will be asked to complete a questionnaire that asks questions about (Covert) Bullying and other related behaviors. It will take approximately 10 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact the Researcher who directed you to this page via email.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

I Agree

First Name :

Last Name :

Address 1 :

Address 2 :

City :

State :

Zip :

Phone :

Email Address :

What is your date of birth?

Choose your gender:

What is your ethnic Background?

The following list represents various behaviors, could you distinguish between cyber-bullying, covert bullying, and overt bullying:

	Bullying	Cyber-Bullying	Covert-Bullying
Teasing

Name-calling

Inappropriate sexual comments

Taunting

Threatening to cause harm

Excluding, isolating, and leaving someone out on purpose

Telling other children not to be friends with someone

Spreading rumors about someone

Embarrassing someone in public

Hitting/kicking/pinching

	Bullying	Cyber-Bullying	Covert-Bullying
Spitting

Tripping/pushing

Taking or breaking someone’s things

Making mean or rude hand gestures

Ignoring someone in purpose

Sending a mean email, mean text message, mean instant message through face book and other social websites

Distributing private pictures or video of someone else without their consent

Created a mean webpage or blog about someone else

Ignoring someone online, harassing someone in chat room or message board

How do you define Covert Bullying?

Have you Ever been covertly Bullied or have witnessed covert bullying?

Yes I was covertly bullied

Yes I have witnessed covert Bullying

No to both

Other

How do the victims of covert bullying report the behavior?

would you say that reporting covert bullying behavior makes things:

better: problem solved

Worse: problem persist

Other