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What grade are you in?
 
9th
 
10th
 
11th
 
12th
 
 
 
What is your sex?
 
Male
 
Female
 
 
 
Since this school year started, have you ever been bullied?
 
Yes
 
No
 
 
 
If you answered 'Yes' to question 3, what type of bullying was it?
 
Verbal
 
Physical
 
 
 
Have you ever bullied another person?
 
Yes
 
No
 
 
 
Have you ever witnessed someone being bullied?
 
Yes
 
No
 
 
 
If you answered 'Yes' to question 6, did you do take any action? For example, notify your teacher.
 
Yes
 
No
 
 
 
Overall, do you feel safe in your school?
 
Yes
 
No
 
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