Bullying
When? Where? What?
This questionnaire has been designed to find out more about the experiences and opinions of young people with additional needs in Hertfordshire. Please be assured that all responses are anonymous.
District/town you live in ………………………………………….
Your school/college …………………………………………
How old are you? Please circle. Are you Male
11-13 14-15 16-18 19-21 22-25 Female
Prefer not to say
Do you have a disability or a learning difficulty/disability?
1. Have you seen any form of bullying in school/college in the past year?
Yes No Not sure
2. Have you even been a victim of bullying?
Yes No Prefer not to say
3. Tell us what type of bullying have you seen or experienced?
Physical (when someone pushes you, hits you or harms you in any way physically)
Name calling (bullied by name calling regularly and it is hurtful)
Social (leaving out, making plans and excluding others etc.)
Cyberbullying (being bullied online, via mobile phone or on social networks)
Sexual (bullying includes unwanted sexual advances/comments, sexuality, spreading sexual rumours)
Other
4. * Did the bullying include any of the following?
Racial (bullying because of skin colour, cultural or religious background or ethnic origin)
Homophobic (being bullied for your sexuality, i.e. being gay, lesbian, bi or transgender)
Gender (bullied for being a boy or a girl, or that being used against you)
Disability (bullied because of a disability or additional needs)
Appearance (bullied for weight, body image, clothes, etc.)
None of the above
5. Where did the bullying take place?
School In the neighbourhood Local park/playing field
Online Mobile phone Public transport
Other………………………………………………………
6. Would you report bullying if you are a victim or witness it?
Yes, if I was a victim Yes,Yes, if I witnessed it No
7. Where would you go to report bullying?
Teacher Other member of staff Youth Worker
Counsellor Friends Family
I wouldn’t report it Other, please state………………………..
8. Have you ever felt afraid of going to school because of bullying?
Yes NoSometimes
9. If you have been bullied, how did it affect you?
Self-harm Suicidal thoughtsDepressed
Family relationships Withdrawn Angry feelings
School work Friendships Self-esteem
Social life Other………………………..
10.Have you heard of kooth.com, online support for young people in Herts who need to talk about any problems/issues they may have? Yes No
11. What do you think your school can do to deal with bullying?
10.Anything else you would like to add; the good and the bad. This is your space
Thank you for completing this survey
If you have been affected by any of the issues raised through this questionnaire please contact for additional information and support.
Your feedback will be included in the Hertfordshire Young People’s Manifesto 2016/17 that will be launched in October 2016.
If you would like to get involved with designing and delivering services in Hertfordshire, by being a Young Commissioner, please leave your email address
…………………………………………………………………………………………………………………………………..
@Hertsyoungpride
@1125wnw
Herts1125
@Herts1125
@HertsYoungComms