心理干预对四川省中学生欺凌意识的影响研究的调查问卷

Survey Questionnaire on the Effect of Psychological Intervention on Bullying Awareness among Middle School Students in Sichuan, China

心理干预对四川省中学生欺凌意识的影响研究的调查问卷

Introduction

Dear Student,Greetings!

You are cordially invited to participate in this research survey, which aims to understand the school experiences of middle school students. The data collected will be used for research purposes only and will have no bearing on your academic records or grades. Please be assured that your responses are strictly confidential; they will not be provided to your teachers or parents.The questionnaire consists of two parts. The first part collects basic personal information, and the second is the main questionnaire, which includes two categories. There are no right or wrong answers to any of the questions. We kindly ask that you answer each one based on your true situation.Thank you for your cooperation and valuable contribution to this study. We wish you all the best in your studies and every success in your future endeavors!

引言

亲爱的同学，您好！

为了解初中生在校情况，我们特开展本次调查。本调查所收集数据仅作研究用，与你的学业没有任何关系，调查结果不会提供给老师和家长，内容会严格保密，请你放心。问卷共包括二个部分，第一部分，包括个人基本信息；第二部分为正式问卷，包括两个类别。每个题目的选项没有对错之分，请您根据自己的真实情况进行选择，谢谢您的合作，祝你学习进步，学有所成！

Part I Demographic Information

第一部分：人口统计信息

Please put a tick ( √) in □of the answer you choose.（请在您选择的答案□中打( √)）

1.What is your gender?（你的性别是什么?）
2.What is your grade level?（你的年级是什么?）
3.Do you board at school? （你是否住校?）
4. What is your place of residence?（你的居住地是什么?）
5.What is your parents’ marital status?（你的父母的婚姻情况是什么?）
6.What is your academic ranking in school?（你在学校的排名是什么?）
7.Do you serve as a class committee member?你在学校担任班委干部吗?
8.Are you an only child?（你是独生子女吗? ）
9.What is your father’s highest educational attainment?（你的父亲的文化程度是什么? ）
10.What is your mother’s highest educational attainment?（你的母亲的文化程度是什么?）

Part II （正式问卷）

Before responding, please familiarize yourself with the concept of "bullying" behavior. A student is considered bullied when one or more students repeatedly and over time inflict negative actions upon them. These negative actions include:

Physical Bullying: Such as kicking, hitting, pushing, or tripping.

Psychological and Relational Bullying: Such as teasing, assigning derogatory nicknames, verbal sarcasm, social isolation, exclusion, or spreading rumors.

Threatening Bullying: Such as coercing or threatening someone into doing things against their will.

The response options are coded as follows:

"1" represents "Never been bullied" or "Have never bullied others."

"2" represents "It has happened 1-2 times."

"3" represents "2-3 times a month."

"4" represents "About once a week."

"5" represents "Multiple times a week."

Note: Playful teasing or fighting between friends is not considered bullying. Arguments or physical conflicts between two students of relatively equal strength are also not classified as bullying.

在回答问题前，请您先了解下“欺负”行为的概念。一个同学被欺负是指这个同学被某个或多个学生持续的、反复的施以负面行为，负面行为包括生理伤害性欺负，如踢、打、推、绊等；心理和人际关系伤害性欺负，如嘲笑、起侮辱性绰号、挖苦、孤立、排挤、散布谣言等；威胁性欺负，如逼迫或威胁别人做不愿做的事。

“1”代表没有被欺负过或没有欺负过；“2”代表有过1-2次；“3”代表2-3次/月；“4”代表每周一次；“5”代表一星期内多次。注意：同学之间开玩笑打闹不叫欺负，两位力量均等的同学间的争吵或打斗行为不属于欺负。

1.How many times have you been bullied in the past few months?（在过去几个月你被欺负过几次?）
2.1.I have been given insulting nicknames or mocked in other ways by classmates.（我曾被同学起侮辱性绰号，或其他方式取笑?）
2.2.I have been deliberately excluded by classmates, isolated, or ignored within my circle of friends.（我曾受到同学的故意排挤，在朋友圈中被孤立或被忽视?）
2.3. have had rumors or private information spread about me by other students, leading to dislike.（我曾被其他学生散布谣言或隐私、导致自己被讨厌?）
2.4.I have had unfavorable content about me spread by classmates online or via mobile phone.（我曾在网上或手机上被同学传播关于我的不良内容?）
3.1.I have had my money or belongings taken or deliberately damaged by other students.（我曾被其他学生抢夺或故意损坏我的钱财或物品?）
3.2.I have been kicked, hit, pushed, tripped, or locked in a room by other classmates.（我曾被其他同学踢， 打，推，绊,或被锁在屋内?）
4.1.I have been threatened or coerced into doing things I am unwilling to do by other students.（我曾被其他学生威胁或 强迫做自己不愿做的事?）
5.1.I have been bullied because I am not a local or come from a rural/suburban area.（我曾因自己不是本地人或家在农村、城郊而被欺负?）
5.2.I have been teased or evaluated because of my appropriate sexual development.（我曾因自己适龄的性发育而受到别人嘲弄和评价?）
5.3.I have been bullied because of my height, weight, appearance, or body odor.（我曾因自己的身高、体重 、长相 、体味而被欺负?）
6.How many times have you bullied others in the past few months?（在过去几个月你曾欺负过别人几次?）
7.1. I have given insulting nicknames to or mocked classmates.（我曾给同学起侮辱性绰号，或用其他方式取笑他/她?）
7.2. I have excluded a classmate, causing them to be isolated or ignored in social circles.（我曾排挤过某个同 学，让他/她在朋友圈子中被孤立、无视?）
7.3.I have spread rumors about a classmate, causing them to be disliked.（我曾传某个同学的坏话，导致他被人讨厌）
7.4.I have shared inappropriate content about a classmate online or via phone.（我曾在网上或手机上传阅某个同学不想被人看见的东西?）
8.1. I have taken or damaged money or personal belongings of a classmate.（我曾夺取、损坏过某个同学的金钱或物品?）
8.2. I have kicked, hit, pushed, tripped, or locked a classmate in a room.（我踢、打、推、绊某个同学,或将其锁在屋内?）
9.1. I have threatened or coerced a classmate into doing things they are unwilling to do.（我曾威胁或强迫某个同学做自己不愿做的事?）
10.1.I have bullied someone because they are not a local or come from a rural/suburban area.（我曾因对方不是本地人或家在农村、城郊而欺负他/她?）
10.2.I have teased or bullied a classmate because of their physical development (e.g., chest, legs, buttocks).（我曾因某个同学的胸、腿、臀部等身体发育而取笑、欺负他/她。）
10.3.I have bullied someone because of their height, weight, appearance, or body odor.（我曾因对方的的身 高、体重、长相、体味而欺负他/她?）
11. When I see a peer being bullied, I feel sympathetic and want to help.（当我看到同龄学生受到欺凌时，我会感到同情并愿意提供帮助。）
12.I would refuse to participate in bullying someone I dislike.(即使是我不喜欢的人，我也会拒绝参与欺凌他。)
13.Bullying is harmful and should not be tolerated.(欺凌行为是有害的，不应容忍。)

Thank you for taking the time to participate in this survey. Your responses are greatly appreciated and will significantly contribute to our research.

感谢您抽出时间参与本次调查。非常感谢您的回复，这将有助于的研究。

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