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The Bullying Survey

Has your child exhibited any of the following sudden and or unexplained negative shift in their demeanor or attitude:

Please answer the following questions. Click "yes" or "no".

Start

Question 1 of 8

Is your child more easily triggered to become irritated or annoyed?

A

Yes

B

No

Question 2 of 8

Is your child more suddenly aggressive or destructive?

A

Yes

B

No

Question 3 of 8

Has your child lost interest in their hobbies or favorite activities or toys?

A

Yes

B

No

Question 4 of 8

Has your child had a sudden change in interest or style?

A

Yes

B

No

Question 5 of 8

Has your child engaged in sudden negative self talk?

A

Yes

B

No

Question 6 of 8

Has your child engaged in any self harm or talk of self harm?

A

Yes

B

No

Question 7 of 8

Has your child begun destroying property?

A

Yes

B

No

Question 8 of 8

If applicable: Has your child answered "yes" if you asked them if they are being bullied?

A

Yes

B

No

C

N/A

Confirm and Submit