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Q.1
Are You
*
A current student at a West Michigan School
A parent of a student at a West Michigan School
A former student at a West Michigan School
A parent of a former student at at West Michigan School
Other
Q.2
Do you believe that bullying is an issue at West Michigan schools?
*
Yes
No
Unsure
Q.3
Which School Did/Do You Attend? (Or Which School Did/Does Your Child Attend?)
Q.4
Did/do you (or did/does your child):
Experience bullying
Witness bullying
Hear about bullying
Bully someone
None of the above.
Q.5
If you checked any of the boxes above, please check what type of bullying you experienced/witnessed/heard about/did:
Cyber Bullying (Abusive or hurtful texts emails or posts, images or videos; Deliberately excluding others online; Nasty gossip or rumours; Imitating others online or using their log-in)
Physical Bullying (hitting, kicking, tripping, pinching and pushing or damaging property)
Verbal Bullying (name calling, insults, teasing, intimidation, homophobic or racist remarks, or verbal abuse.)
Social Bullying (lying and spreading rumors, negative facial or physical gestures, menacing or contemptuous looks, playing nasty jokes to embarrass and humiliate, mimicking unkindly, encouraging others to socially exclude someone, damaging someone's social reputation or social acceptance)
Q.6
If you feel comfortable doing so, please detail an instance of bullying you experienced/witnessed/heard about/or did to another person.
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