1. Questionnaire:
1. Which age group do you belong?
o 11 years old
o 12 years old
o 13 years old
2. What is your gender?
o Male
o Female
3. What ethnic group do you belong to?
o African
o East Indian
o Mixed
o Other
4. What class do you belong to?
o 1-1
o 1-2
o 1-3
o 1-4
o 1-5
5. Do you get bullied online or in person ( you can choose both if necessary)?
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6. If you wrote online in question (5), how many hours are you online?
o Less than an hour
o 1-2 hours
o 2-5 hours
o +5 hours
2. 7. If you wrote in person in question (5), do you get bullied(select all that apply)?
o Students in your class
o Students in your form
o Students from upper forms
8. How do you get bullied?
o Text
o Pictures or videos
o Mobile calls
o Games
o Getting call names
o Getting your money taking for you
o Getting physically abused
o Other
9. How regularly did bullying occur?
o Once a week
o Twice a week
o Three times a week
o More than three times a week
10. How long does the bullying last?
o Less than a week
o 1-2 weeks
o 3-4 weeks
o More than a month
11. Did you know the person that bullied you?
o Yes
o No
3. 12. What are some of the feelings you felt when you were bullied? (Select all that apply)
o Feeling overwhelmed
o Feeling vulnerable and powerless
o Feeling disinterested in school
o Feel suicidal
o Feeling exposed and humiliated
13. If you have been bullied, do you think it has adversely affected you?
o Yes
o No
14. In what way did bullying affect you?
o Low self-esteem
o Depression and anxiety
o Decreased academic performance
o Suicidal thoughts
15. Are there any other forms of bullying, which was not mentioned?
o Yes
o No
16. If yes, please describe the other forms of bullying not mentioned.
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17. In which of the following areas were you targeted?
o For your appearance
o Because of your racial background
o Because of your gender
o For your intelligence
o Your self-worth
o Others
4. 18. Please share any personal experiences or stories you have with bullying.
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19. If you saw someone was being bullied what would you do?
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20. If you were being bullied and you could not get it to stop by yourself would you tell your
parents?
o Very likely
o Somewhat likely
o Somewhat unlikely
o Very unlikely
21. If you saw or know another student was being bullied, would you tell your parents or a staff
member?
o Very likely
o Somewhat likely
o Somewhat unlikely
o Very unlikely
22. To reduce the possibility of bullying, what would you do
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