Teachers’ and School Administrator’s Questionnaire

Name: (Optional)

School:

Age:

Gender: F M

Part I.

Direction: Put a check mark on the box of your answers for each question. If your
answer is not on the choices put your answer on the space provided.

1. What are the acts of bullying committed within the premises of school
institution?

a. Physical contact (i.e. punching, pushing, shoving, kicking, slapping,

tickling, headlocks, fighting and the use of available weapons)
b. Use of slanderous statement or accusation (i.e. directing foul
language, name calling, tormenting, commenting negatively on
victims clothes, looks and body)
c. Cyber-Bullying or any bullying done through the use of technology
or any electronic means
d. Teasing
e. Others(please specify)

2. What is the most common factor that leads the bully to commit acts of
bullying?
a. Peer pressure
b. Dysfunctional families
c. Aim to seek attention
d. Aim to seek power
e. Lack of supervision
f. Influence from Internet and television programs
g. Others(please specify)

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3. What is the effect of bullying to the victim in terms of the following
aspects?

A. Psychological
a. Depression
b. Stress
c. Anxiety
d. Self-harming
e. Loss of interest in activities
f. Low-self esteem
g. Others(please specify)

B. Mental
a. Sudden decrease in academic performance
b. Lack of focus on study
c. Slow learning
d. Others(please specify)

C. Physiological
a. Physical injury
b. Poor health condition
c. Poor immune system
d. Others(please specify)

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Part II.

Direction: The following are the anti-bullying policies adopted by secondary

public schools in Bauan, Batangas. Using the scale below, please rate the
frequency of the school’s implementation of the following anti-bullying policies by
putting a check mark on the column that corresponds to your answer.

5-Always
4-Sometimes
3-Often
2-Once
1-Never

Anti- Bullying Policies 5 4 3 2 1

1. The school implements prohibited
acts of bullying.
2. The school identifies the range of
disciplinary administrative actions.
3. The school establishes clear
procedures and strategies in addressing
acts of bullying.
4. The school enables students to
anonymously report bullying.
5. The school subjects a student who
knowingly makes a false accusation of
bullying to disciplinary administrative
action.
6. The school educates students on the
dynamics of bullying, the anti-bullying
policies, and mechanisms for
anonymous reporting of acts of bullying.
7. The school educates parents and
guardian on the dynamics of bullying,
the anti-bullying policies of the school
and how parents and guardians can
provide support and reinforce such
policies at home.
8. The school maintains a record of
relevant information and statistics of
bullying.

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Part III.

Direction: The following are the duties of the school administrators on

implementing the Anti-Bullying Act. Using the scale below, please rate the
performance of the school administrators’ duties by putting a check mark on the
column that corresponds to your answer.

5- Very Effective
4- Effective
3- Moderately Effective
2- Ineffective
1- Very Ineffective

Duties of School Administrator 5 4 3 2 1

1. The school administrator oversees the
implementation of the anti-bullying
policies adopted by secondary public
schools.
2. The school administrator takes
responsibility regarding the reports about
bullying instances.
3. The school administrator performs its
duty on conducting investigation
regarding cases of bullying.
4. The school administrator takes
appropriate disciplinary administrative
action for the bullies.
5. The school administrator notifies the
parents or guardians of the bully.

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