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St. Brigid's Primary School, Downpatrick
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Addressing Bullying - Pupil Form

Hello! If you have any concerns or worries you would like to discuss, and you don't feel you can talk to an adult at first, complete this form and an adult will come to you.

Don't be worrying, only specially selected adults in our school can see what you put in.

We are always there for you, and we promise do our upmost to help!

Targeted - is focused on you?
 
Repetitive - does it happen a lot?
 
Intentional - do you think someone/a group of people making a point of doing this?
 
Physical/Physiological - do you feel that is causing you harm? Does it make you feel bad or does it actually hurt?
 
Sad Happy
Sad
 
 
 
 
 
Happy
Bad Great
Bad
 
 
 
 
 
Great