BB Clic The Back To School Survey
       

 

 

 

 

 

 

Welcome to The BB Big Ask on bullying and health

Anything you tell us about stuff that has happened to you is confidential. We won’t tell anyone if you decide to fill out this form. But if you want to talk to us, you can tick the box at the end of the first section so that we can contact you if you want to talk to someone at Beatbullying.

If you haven't been bullied, there is no need to fill in this form, but you might like to tell your friends about it instead.

Questions

smiley About you
1 Your age:
2 Your gender: boy girl
3 How do you describe yourself?
4 Your email address:
5 Postcode: -
 
Check this box if you want us to contact you
disk About being bullied
6

Were you physically attacked by your bully?

 

Yes   GO TO QUESTION 7

No   GO TO QUESTION 11

7 Right…the problem with this bullying crap is that people often get hurt. This question is about telling us if you had any physical injuries from being bullied. So did you? (Please check all those relevant)
  Yes No   GO TO QUESTION 9
8 If so, what were they? (Please check all those relevant)
  Scratches Bites
  Cuts Bruises
  An abrasion A puncture wound
  A burn A split or bleeding lip
  A black eye A broken or fractured bone
  Dislocation of a bone A stabbing injury
  An injury from being hit with a weapon  
  Another injury:
9

When you were physically attacked by the bully did they use a weapon?
  Yes No   GO TO QUESTION 11
10 If yes, what was it?
  A plank of wood A knife
  Their fists Their feet
  A blunt object (like an iron bar) A baseball bat
  A bit of rock A piece of furniture
  A bottle Something to strangle you with
  Something else:
11 Did you ever have to go and see a doctor (a GP) because you had been bullied?
  Yes No   GO TO QUESTION 13
12 If you did see a doctor (a GP), was it...?
 

Because you had been beaten up?
Because you had a physical injury?
Because you were feeling depressed?
Because you wanted some advice
Because you just wanted someone to talk to

Or because of something else:

You can tell us more about what happened here if you like.

13 Did you ever have to go to hospital because you were being bullied?
  Yes No   GO TO QUESTION 15
14

If yes, was it...?

Because you had been beaten up?
Because you had a physical injury?
Because you had a broken or fractured bone
Because you were feeling depressed
Because you were taken to hospital in an ambulance
Because your parents took you to hospital
Because your mates took you to hospital

Or because of something else:

You can tell us more about what happened here if you like.

15 Have you ever talked to a medic about being bullied?  
  Yes No  GO TO QUESTION 17
16

If yes, was it...?

A doctor at your local surgery
A nurse at your local surgery
A doctor at hospital/Accident & Emergency
A nurse at hospital/Accident & Emergency
Your school nurse
A counsellor
A therapist
A First Aid person

Or someone else:

You can tell us more about what happened here if you like.

17

How did it feel telling any of the people above about being bullied?
 

Please indicate your top three responses in order of importance according to you by writing 1, 2 and 3 in the boxes below.

1= most strong feeling   2= second strongest feeling   3= third strongest feeling.

I felt better
I felt listened to for the first time
I felt scared
I felt nervous
I was worried that things could go further
I was worried about what might happen to me
I was worried about what might happen to my family
I felt insecure
I felt less isolated
I felt ashamed that this happened to me
I was worried about my privacy

Or something else?

You can tell us more about what happened here if you like.

18

How did it feel telling any of the people above about being bullied?
Please indicate your agreement or disagreement with the following statements by ticking the boxes below.
 

 

a little

a lot

not at all

I felt better

I felt listened to for the first time

I felt scared

I felt nervous

I was worried that things could go further

I was worried about what might happen to me

I was worried about what might happen to my family

I felt insecure

I felt less isolated

I felt ashamed that this happened to me

I was worried about my privacy

19

Once we have sorted out all the results from this survey we are going to tell the world about the results.  This will mean that we may need people who are prepared to talk about what happened on the telly or the radio.

Remember you must get your parents' permission. Talking about bullying can be upsetting so think hard before you answer this question.
 

Would you like to be a Beatbullying spokeperson?
  Yes No