Republic of the Philippines

Mindanao State University- General Santos City

SENIOR HIGH SCHOOL PROGRAM
Second Semester, S.Y. 2018-2019

A SURVEY QUESTIONNAIRE

Grade Level:
Age:

Instruction: Shade the circle of your answer/s.

(The researchers need you to answer honestly and think
carefully about your answer.)

1. What do you know about bullying (physical, verbal,

cyber-bullying)?
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_____________________________________________
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2. Have you ever witnessed someone being bullied?
O Yes
O No
3. Have you ever bullied another person?
O Yes
O No
4. What kinds of bullying have you seen or
experienced? (Select all that apply.)
O Physical bullying, like punching or hitting
O Verbal bullying, like name-calling
O Cyber-bullying, such as posting mean things
on someone's Facebook
5. How does cyber-bullying affect you? (Select all that
apply.)
O Socially, like being less socially active or
inclined.
O Mentally, such as disrupting my ability to think.
O Emotionally, like strange outbursts or unstable
mood swings.
O Morally, like how it affects my perception on
good and bad.
O None.
6. How does verbal or physical bullying affect you?
(Select all that apply.)
O Socially, like being less socially active or
inclined.
O Mentally, such as disrupting my ability to think.
O Emotionally, like strange outbursts or unstable
mood swings.
O Morally, like how it affects my perception on
good and bad.
O None.

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7. If given the chance, would you share your thoughts,
experiences, and problems about bullying to your
friends and family? Why? (Select all that apply.)
O Yes, because I trust them.
O Yes, because I want them to be aware.
O No, because I don’t trust them.
O No, because I don’t want them to worry.
8. Do you know any anti-bullying social media
campaigns?
O Yes
O No
9. Do you support any anti-bullying social media
campaigns? How?
O Yes, through liking their posts.
O Yes, through commenting on their posts.
O Yes, through sharing their posts on my own
account.
O No, I ignore their posts.
10. Do you share your thoughts and experiences about
bullying online (Twitter, Facebook, and Instagram)?
O Yes
O No
11. Are you willing to help put up social media
campaigns to help victims and stop bullying?
O Yes
O No
O Maybe
O I don't have the confidence.
Please explain your answer:
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12. As a victim of bullying or as a bully or as a netizen,
how do these anti-bullying social media campaigns
affect your emotional or mental status?
O None, it doesn’t affect me
O Affects me negatively
O Affects me positively
13. Should anti-bullying social media campaigns also
take actions outside the cyber-world?
O Yes
O No
O Maybe
O I don’t know.
14. Do these anti-bullying social media campaigns
affect your insights about bullying?
O Yes
O No
Please explain your answer:
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_____________________________________________
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15. In what way do these anti-bullying social media
campaigns affect or help you in your situation?
(Select all that apply.)
O Mentally
O Socially
O Emotional
Please explain your answer:
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16. For you, what is the most effective way to solve
bullying? Tell us more about it.
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