Crestwood Safe School Initiative

I enjoy being at Crestwood.

Always

Often

Sometimes

Never

Crestwood is a friendly place.

Always

Often

Sometimes

Never

My school is a comfortable place to learn.

Always

Often

Sometimes

Never

Do you ever feel unwelcome or uncomfortable at your school because of any of the following?
(Please check the items that apply to you.)

O Being a boy or a girl

O My race, culture, or skin colour

O My first language

O My grades or marks

O My appearance

O My religion or faith

O My family’s level of income

I don't feel uncomfortable or unwelcome

In the past four weeks at school, how often have other students physically bullied/harassed you?
Examples: pushed, tripped, or hit you; taken or broken your belongings on purpose

In the past four weeks at school, how often have other students bullied/harassed you verbally?
Examples: called you names, teased, or made fun of you; said mean things to you; embarrassed or threatened you

In the past four weeks at school, how often have other students bullied/harassed you socially?
Examples: left you out of their group, said bad things about you, made you look silly in front of others, refused to play with you, got other students not to talk to you or not to like you

In the past four weeks at school, how often have other students bullied/harassed you electronically?
Examples: used the Internet or a cell phone to e-mail or send text messages or pictures in order to threaten you, hurt your feelings, embarrass you, make you look bad, or tell secrets about you

* Have you ever been a victim of "academic bullying?"
Academic bullying includes making fun of someone's academic results, projects or any other work completed in school.

When I am bullied I;
(Check all that apply)