Bully Button
®
by Fortres Grand
Bully Button
®
by Fortres Grand
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Name of Victim
Relationship
Self
Friend
Parent
Relative
Acquaintance
Stranger
Name of Bully
Witness
I was involved
I heard about it
I saw it
I saw a video
I saw an image
Location Details
Physical Personal Contact
Touch
Push
Pull
Punch
Kick
Slap
Spit
Bite
Contort
Confine
Grab
Trip
Manipulate Clothing
Other Personal Contact
Physical Property Contact
Theft
Vandalism
Unauthorized Use
Withholding
Hiding
Rearranging
Other Property Contact
Verbal
False Statement
True Statement
Benign
Hurtful
Said to the Victim
Said to Others
Whisper
Yell
Behind Victim's Back
Threat
Other Verbal
Verbal Topic
Appearance
Past Conduct
Mannerisms
Relationships
Habits
Choices
Physical Abilities
Genetics
Rumors
Reputation
Mental Abilities
Hygiene
Academic Performance
Beliefs
Home Life
Family Structure
Family Members
Other Verbal Topic
Non-Verbal
Obscene Gesture
Threatening Gesture
Benign Gesture
Gang Sign
Stalking
Gesture Behind Victim
Writings
Photographs
Illustrations
Other Non-Verbal
Cyber Bullying
Undesired Communication
Threat
Unwanted Exposure
Untruth
Impersonation
Cyber Stalking
Hacking
Digital Theft
Other Cyber Bullying
Motivation of Bully
Revenge
Showing Off
Intimidation
Exertion of Power
Depravity
Boredom
Gratification
Other Motivation
Effect On Victim
Embarrassment
Discomfort
Physical Pain
Exclusion
Anger
Sadness
Despair
Withdrawal
Isolation
Aggression
Fear
Other Victim Effect
Description of Bullying
Additional Details of Bullying
Date of Bullying
Your Name (optional)
Your Phone (optional)
Your email (optional)