ASK THE KIDS
TEASING SURVEY
Assess the extent and nature of teasing in your classroom or school by gathering information.  This assessment can be an oral survey or a written questionnaire. Most of my assessments in small groups and in classrooms in the elementary school are oral. I believe, however, that a written questionnaire is more appropriate for middle school, junior high, and high school students, who generally are uncomfortable or embarrassed to share teasing experiences with their peers.
This questionnaire will provide you with valuable information, and will increase the student awareness of teasing.  The choices in question #3 should be adapted or modified according to the age of your students. Explain that you will not share their specific information with anyone without their permission. However, you will share general results with the class.
Parents, please feel free to share this survey with your child's teacher, or to give it to your child. 
Click here for a printable, black and white copy of the survey.
WHAT IS TEASING?

1. What is teasing? __________________________________________________________
__________________________________________________________
__________________________________________________________

2. Have you ever been teased, made fun of, or insulted?
Please circle your answer.
·      Yes       No

3. What have you been teased about?
Please circle all that apply.
*what you do
*what you think
*what you believe
*what you have
*what you don't have
*what you wear
*what you like
*what you don't like
*what you say
*what you eat
*how you eat
*how you act
*how you look
*how you feel
*how you perform in school
*how you read
*how you draw
*how you write
*how you sing
*how you play
*how you kick a ball
*how you throw a ball
*how you catch a ball
*how you jump rope
*how you talk
*how you walk
*how you run
*how you learn
*if you are overweight
*if you are underweight
*if you are tall
*if you are short
*if your teeth are not straight
*if you wear braces
*if you wear glasses
*if you wear hearing aids
*if you take medication
*if you have allergies
*if you have a scar
*if you are the oldest in class
*if you are the youngest in the class
*if you are smart
*if you are not smart
*if you read a lot of books
*if you don't know how to read
*if your parents are divorced
*if a family member has died
*if you have a single parent
*your hair
*your toys
*your clothes
*your name
*your habits
*your mother
*your father
*your sisters
*your brothers
*your friends
*your opinions
*your culture
*your race
*your religion
*your gender
*a learning disability
*a physical disability
*any difference
*other______________________________________________

4.  How often are you teased? Please circle your answer.
    Every day
     Several times a day
     Several times a week
      Maybe once a week
     Rarely
 
 5. Where does the teasing take place?
Circle the place or places where you have been teased.
In the classroom
      In gym class
      The locker area
     At lunch
      On the playground
      On the school bus
      On the way to school
 On the way home from school
      In the neighborhood
      In the bathroom
      On the telephone
      E-mail
      Other places____________________
            ___________________________


6. What age is the teaser? Circle your answer.
      Your age
      Older than you
      Younger than you
 
7. Do you consider the teaser to be your friend?
Circle your answer.
      Yes
      No
      Sometimes
      I don’t know.
 
8.Does the person who teases you tease other kids?
Circle your answer. 
      Yes
      No
      I don’t know.
 
 9.  How do you feel when you are teased, put-down, or insulted?
Circle all the feelings that you experience in teasing situations.
      Upset  
      Sad
      Angry
      Frustrated
      Helpless
      Embarrassed
     Scared
      Guilty
      Hurt
      Afraid
      Stressed
      Excluded
     It does not bother me.

10. What do you say or do when you are teased?
Circle the way or ways you react to teasing.
      Yell or scream at the teaser
      Hit the teaser
      Tease the teaser
      Argue with the teaser
      Cry
      Ignore the teaser
      Tell an adult
      Other responses or reactions:_________________________
___________________________________________________
___________________________________________________
 
 
*This teasing questionnaire may be reproduced for classroom use.

Click here for a printable, black and white copy of the survey.

Return Home

EASING THE TEASING® copyright 2001 by Judy Freedman