This worksheet is designed to help you express your feelings and experiences if someone is being mean to you. Since I don’t know exactly what is happening to you, I cannot fill this out for you. However, I can give you
examples of how a student might fill this out so you understand what to write.
Here is an example of how you could complete the sections:
1. The bully does these things to me...
*Check the boxes that match what happens to you. If something else happens, write it on the lines.*
* [x] Calls me names
* [x] Leaves me out on purpose
* [x] Does things to annoy me
*
Write-in: *Hides my backpack during recess.*
2. The bully says these things to me...
*Write down specific mean words or phrases inside the speech bubbles.*
*
Bubble 1: "You are weird and no one likes you."
*
Bubble 2: "Give me your snack or I will tell everyone you cried."
*
Bubble 3: "Your shoes look stupid."
3. The bully makes me feel...
*Check the boxes that describe your emotions.*
* [x] Sad
* [x] Afraid
* [x] Lonely
* [x] Hurt
*
Write-in: *Nervous when I walk into class.*
4. Ways that I can cope...
*Think about safe ways to handle the situation or feel better.*
*
Line 1: Tell a trusted adult like my teacher, parent, or school counselor.
*
Line 2: Walk away from the bully and go play with a friend who is kind.
*
Line 3: Take deep breaths to stay calm when they say mean things.
*
Line 4: Remember that their words are not true and I am a good person.
***
Important Note: If you are actually being bullied, please show this worksheet to a trusted adult (like a parent, teacher, or counselor). They can help keep you safe and stop the bullying. You are not alone!
Parent Tip: Review the logic above to help your child master the concept of it is bullying worksheet.
