JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Anti Bullying Evaluation 2016
Sign in to Google
to save your progress.
Learn more
* Indicates required question
1. Please mark your child's year at school.
*
Choose
Kindergarten
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
2. Do you think your child feels safe at school?
*
Yes, all of the time
Most of the time
Some of the time
Never
3. Overall, how would you describe bullying at our school?
*
Not a problem
Minimal
Moderate
Severe
4. Please explain your answer to question number 3.
*
Your answer
5. Based on the definitions explained before, do you think your child has been bullied this year? Click on one box for each type.
Physical Bullying
None
1 time
2/3 times
4 + times
Clear selection
6. Based on the definitions explained before, do you think your child has been bullied this year? Click on one box for each type.
Verbal Bullying
None
1 time
2/3 times
4 + times
Clear selection
7. Based on the definitions explained before, do you think your child has been bullied this year? Click on one box for each type.
Social/Emotional Bullying
None
1 time
2/3 times
4 + times
Clear selection
8. Based on the definitions explained before, do you think your child has been bullied this year? Click on one box for each type.
Cyber Bullying
None
1 time
2/3 times
4 + times
Clear selection
9. Does your child/ren use any social media platforms? If so please click which ones.
Facebook
Snap Chat
Instagram
Twitter
Amino
Other:
10. Where has bullying taken place?
Click all appropriate responses
Nowhere, it hasn't occurred
I am not aware of any problems with bullying
On the way to or from school
Transitioning
In the classroom
On the playground
On school grounds outside of the building
Online
11. If your child has been involved in bullying, either as the bully or the victim, what steps have been taken to deal with the situation?
Click all appropriate responses.
My child has not been involved in bullying
The teacher talked to the students to resolve the situation
The school executive talked to the students to resolve the situation
Consequences were given to the bully by the school
I talked to my child and helped him/her resolve the problem
I talked to the other child's parents to help resolve the problem
I talked to my child about what bullying is
I wasn't informed of the steps taken
Was the school informed of the ongoing bullying?
12. I talk to my child about what to do if he/she is being bullied
Yes, as a general topic of discussion
No
Only when a problem occurs
Clear selection
13. I talk to my child about what to do if he/she sees someone being bullied
Yes, as a general topic of discussion
No
Only when a problem occurs
Clear selection
14. What activities/events that occur at school are helpful in teaching students about bullying and reduction in incidents?
Click all appropriate responses.
Discussions with teachers
Community meetings
School asssemblies
Events set up for bullying awareness
External performances
Explicit teaching of anti bullying lessons
Other:
15. What other information would be helpful for the school to know regarding bullying?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NSW Dept of Education.
Report Abuse
Forms
