Bully Free – Say no to bully!

A. Demographics / Demografi

Age / Umur

Gender / Jantina

Male/Lelaki Female/Perempuan

Form / Tingkatan

School / Sekolah

Residence / Tempat Tinggal

Urban/Bandar Semi-urban/Separa Rural/Luar Bandar

Parents' Edu / Pendidikan Ibu Bapa

B. Experience / Pengalaman

1. Bullied in past 6 months? / Dibuli dalam 6 bulan lepas?

Yes/Ya No/Tidak

2. How often? / Berapa kerap?

Never/Tiada Once/Twice (Sekali/Dua) Monthly/Bulanan Weekly/Mingguan Daily/Harian

3. Types experienced? (Choose all that apply) / Jenis dialami? (Pilih semua yang berkaitan)

Physical/Fizikal Verbal/Percakapan Social/Sosial Cyber/Siber None/Tiada

4. Still experiencing? / Masih alami?

Yes/Ya No/Tidak

C. Behavior / Tingkah Laku

5. If seeing bully? / Jika lihat buli?

6. Ever bullied others? / Pernah membuli orang?

Yes/Ya No/Tidak

7. Who to tell? / Beritahu siapa?

Teacher/Guru Parent/Ibu bapa Friend/Rakan Counselor/Kaunselor No one/Tiada

8. Comfortable telling? / Selesa beritahu?

Yes/Ya No/Tidak

9. Ever reported? / Pernah lapor?

Yes/Ya No/Tidak

10. When it happens? / Bila berlaku?

Before School Recess/Rehat In Class/Dalam Kelas After School

11. Unsafe places? (Choose all that apply) / Tempat tak selamat? (Pilih semua yang berkaitan)

Classroom/Kelas Hallways/Laluan Toilet/Tandas Canteen/Kantin

D & E. Knowledge & Attitude / Pengetahuan & Sikap

12. Bullying is intentional & repeated? / Buli itu sengaja & berulang?

True/Betul False/Salah Unsure/Tak Pasti

13. Effects of bullying? / Kesan buli?

Scale: 0 (Strongly Disagree) to 4 (Strongly Agree)

14. Bullying affects mental health / Buli jejaskan mental

15. Leads to anxiety/depression / Sebabkan kemurungan

16. Leads to isolation / Sebabkan penyisihan

17. Serious problem / Masalah serius

18. Can bully "different" people (OKU)? / Boleh buli OKU?

19. Can happen to anyone / Berlaku pada sesiapa

20. Social media increases bullying / Media sosial tingkatkan buli

F. Prevention / Pencegahan

21. Main reason not reporting? / Sebab utama tak lapor?

Fear/Takut Shame/Malu Don't know how/Tak tahu cara No use/Tiada guna

22. Do teachers act? / Guru bertindak?

Yes/Ya No/Tidak Sometimes/Kadang-kadang

23. Know how to report? / Tahu cara lapor?

Yes/Ya No/Tidak

24. Peer support helps? / Sokongan rakan bantu?

Yes/Ya No/Tidak

25. Parents important? / Ibu bapa penting?

Yes/Ya No/Tidak

26. Heard of procedure? / Dengar prosedur?

Yes/Ya No/Tidak

27. Joined campaign? / Sertai kempen?

Yes/Ya No/Tidak

28. What makes reporting easier? (Choose all that apply) / Apa mudahkan lapor? (Pilih semua yang berkaitan)

Anonymous/Tanpa nama Supportive Teachers/Guru sokong Clear Rules/Peraturan jelas Programs/Program Nothing/Tiada

29. Who prevents bully? (Choose all that apply) / Siapa cegah buli? (Pilih semua yang berkaitan)

Parents/Ibu bapa Teachers/Guru Friends/Rakan Self/Diri sendiri

30. Campaign effective? / Kempen berkesan?

Yes/Ya No/Tidak

Informed Consent / Kebenaran Maklum

Thank You! / Terima Kasih!