1. Most of the time at Roy Jr High, I feel. 1.Happy and safe 2.Mostly happy and safe. 3.Unhappy and unsafe 4.Very unhappy and unsafe

2. I treat others with respect. 1.All of the time. 2.Most of the time. 3.Almost never. 4.Never.

3. I am friendly to others? 1.All of the time. 2.Most of the time. 3.Seldom. 4.Never.

4. When I am angry, I: 1.Work through it in a positive way. 2.Take it out on myself. 3.Become aggressive. 4.Blame others.

5. When I hear a rumor about someone, 1.I repeat it to someone else. 2.Tell the person telling the rumor to stop. 3.Tell the rumor to the person it is about and who told you. 4. Do nothing. It’s not my problem.

6. When I see others being picked on I: 1.Help the victim. 2.Join in. 3.Walk away. 4.Do nothing.

7. The students at Roy Jr. High School respect each other: 1.All the time. 2.Most of the time. 3.A little of the time. 4.None of the time.

8. I have been harassed/bullied at school. 1.Every day. 2.1 or 2 times a week 3.1 or 2 times a month 4.Never.

9. How often am I involved in harrassing/bullying behaviors? 1.Every day 2.1 or 2 times a week 3.1 or 2 times a month 4.Never

10. When I am harrassed I: 1.Tell the person (or persons) to stop. 2.Tell an adult. 3.Get even. 4.Stay home.

11. I know what to do if I am being harassed or bullied. 1.Yes, I do. 2.Unclear 3.No idea.

12. I help others to feel that they belong. 1.All of the time. 2.Most of the time. 3.Seldom. 4.Never.

13. I am an important person, who can make a difference at Roy Junior High School 1.Agree. 2.Disagree.