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What is your gender
Male
Female
What form are you in?
First form
Second form
Third form
Fourth form
Fifth form
Have you been bullied
Yes
No
Bullying is a problem in our community
Strongly agree
Agree
Disagree
Strongly disagree
Neutral
Who do you talk to when you have a problem at school?
Parent
Teacher
Friend
Students
Counselor
Have you been bullied by other students? If so what type
Physically
Verbally
Socially
Racially
Cyber
I have not been bullied
If you see someone being bullied, what would you do?
Nothing, just watch
Try to stop the bullying
Ask for help from an adult
Join in on the fun
Has anyone talk to you about bullying?
Yes
No
Once and it help me
What school do you attend
What can be done to help stop bullying in school
Make rules against bullying and discipline bullies
Talk about bullying prevention in classes
Help students work problem out
Supervise the schools better
Bullying is not a problem at our school
Counsel students who are bully and are being bullied
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