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Harassment/Bullying

  1. If you saw another student being bullied, what would you do?
    1. Tell an adult at school
    2. Laugh or join in
    3. Nothing
  2. Have you ever threatened anyone at school?
    1. No
    2. Yes
  3. Is there an adult at your school who you feel you can trust?
    1. No
    2. Yes
  4. Durng the past 12 months, how many times have you been afraid of being beaten up at school?
    1. None
    2. Once
    3. Twice
    4. Three times or more
  5. During the past 12 months, how many times have you been harassed or bullied because of your race, ethnicity, or national origin on school property?
    1. None
    2. Once
    3. Twice
    4. Three times or more
  6. During the past 12 months, how many times on school property have you been harassed or bullied because of you are gay or lesbian, or because someone thought you were?
    1. None
    2. Once
    3. Twice
    4. Three times or more

Please note: the questions listed are those that have been used in various custom modules to-date. These questions are intended to be used as guides only, as WestEd does not make claims to their utility. Clients wishing to develop a custom module should do so in consultation with their Cal-SCHLS Regional Center.

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