QUESTIONNAIRE
ABOUT
FAMILY TIES AND BULLYING

*This questionnaire is a survey of the opinions of college students in America and Japan.

*The questionnaire is anonymous. No names are asked for.

*After filling out the questionnaire, the student may opt not to submit it.

*Questions about the research can be submitted to the address below.

Takeshi Ueki, Ph.D.
Professor of Anthropology
Kyoritsu Women's Junior College
Hitotsubashi 2-2-1
Chiyoda-ku, Tokyo 101-8437
Japan


DIRECTIONS: Choose the number of the answer that most closely reflects your situation or opinion.
Choose ONLY ONE ANSWER PER QUESTION unless otherwise directed.

1. You are
Female Male

2. Your age is
18-19 20-22 23-24 25 and up
QUESTIONS ABOUT YOU AND YOUR FAMILY

3. From your elementary school days to the present, at what age did you feel closest to your family? (Choose one.)
No 7th-9th grade
Yes, in 10th-12th grade
1st-3rd grade College
4th-6th grade Not sure


4. At the age when you felt closest to your family, with whom did you share your family home? (Choose as many as are applicable.)
Brother(s)/Sister(s) Grandfather
Mother Step-mother
Father Step-father
Grandmother Step-sibling(s)
Other:

5. At the age when you felt closest to your family, to whom in your family were you most likely to talk to when you had a problem? (Choose one.)
Brother(s)/Sister(s) Grandfather
Mother Step-mother
Father Step-father
Grandmother Step-sibling(s)
Other:

6. Nowadays, to whom in your family are you most likely to talk to first when you have a problem? (Choose one.)
Brother(s)/Sister(s) Grandfather
Mother Step-mother
Father Step-father
Grandmother Step-sibling(s)
Other:

7. What do you consider the chief factor that binds a family together? (Choose one.)
Family name and origin Economic reasons
Blood ties Emotional ties
Living together
Other:

8. In your own home life, which of the following could you use more of? (Choose one.)
Laughter Consideration
Conversation Parental authority
Relaxation Discipline
Freedom
Other:


9. Thinking about your future home, if conditions (space, finances) permit, can you envision asking your elderly parents or grandparents to live with you and your spouse?
Yes No Not sure

10. Thinking about your future home, if conditions (space, finances) permit, can you envision asking your elderly in-laws to live with you and your spouse?
Yes No Not sure


11. Have you heard your parents or grandparents say they would like to live with you (or a sibling) in the future?
Yes No

12. Have you heard your parents or grandparents say they will not live with you (or a sibling) in the future?
Yes No

(THOSE WHO ANSWER "YES,"
PLEASE ANSWER THE FOLLOWING.)
(THOSE WHO ANSWER "NO"
PLEASE GO TO THE NEXT QUESTION.)
Did they say (or can you guess) their ONE MAIN REASON to live apart?)
Want to remain independent
Don't want to be a burden
Don't want to move from familiar surroundings or friends.
Have sufficient resources to live alone.
Require special care; for example, medical.
Other:

13. It's ten years in the future. Imagine yourself out in the work world suddenly faced with the following situation.

Your mother or father requires life-saving surgery. By coincidence, on the same day you are scheduled to make a presentation to the company president that will determine your promotion. You are struggling to decide whether to leave work and hurry to the hospital or stay and give your presentation.

Which is your most likely choice?

You hurry to the hospital You stay and give your presentation
Why? (Choose the two main reasons for
your choice.)
a. I would go to the hospital because my parent will be relieved to have me near before surgery.
b. I would go to the hospital because a parent is more important than career advancement.
c. My parent took care of me in childhood, so now I want to be with him/her.
d. My sibling(s) will surely rally around, and I must be there, too.
e. If my parent dies, I will be at a disadvantage in matters of inheritance as the one who didn't show up.
Why? (Choose the two main reasons for
your choice.)
a. My spouse and children are depending on me, so I will stay and give the presentation
b. If I want to be promoted, I must stay.
c. The presentation is part of my responsibility to the company? which I cannot shirk.
d. If I don't give the presentation, it will be given by my rival, which I cannot tolerate.
e. My presence or absence from the hospital will have no effect on the outcome of the surgery.

14. How would you feel about the prospect of taking care of your parents in their old age?
Please choose the one answer that comes closest to your opinion.
I would take care of my parents in their old age, regardless of the circumstances.
I would take care of my parents in their old age, if I am financially able to.
I would leave them to their own resources and/or social security.
Don't know.
QUESTIONS ABOUT BULLYING

15. Have you ever been bullied by someone or by a group? If so, when did this take place? (Choose as many as necessary)
No 7th-9th grade
Yes, in 10th-12th grade
1st-3rd grade College
4th-6th grade Not sure

IF YOU ANSWERED "YES" TO QUESTION 15, PLEASE CONTINUE.
IF YOU ANSWERED "NO," PLEASE SKIP TO QUESTION 24.

16. At what age did the worst bullying take place? (Choose one.)
No 7th-9th grade
Yes, in 10th-12th grade
1st-3rd grade College
4th-6th grade Not sure

17. What was the worst type of bullying you experienced? (Choose one.)
Threatening language Revealing secrets
Physical violence Forced purchases
Sexual harassment Demands for money or posessions
Shunning or ignoring Threats with weapons
Hiding or damaging belongings Criticism, malicious gossip
Other:

18. Who was the worst bully?
Parent Teacher
Sibling Classmate
Other:

19. Was the worst bullying by
Person(s) of your same sex?
Person(s) of the opposite sex?
Both?

20. What was your reaction to the worst bullying?
I didn't care much. It was extremely painful.
It was quite painful. It was intolerable, and I thought of suicide.

21. To whom did you turn first for help?
Parent(s) Friend(s)
Sibling(s) Other(s)
Teacher(s) No one

22. Thereafter, what was your relationship to the bullying person or group?
Later became friendly again. Haven't met since then.
Haven't talked since then.
Other:

23. When the worst bullying took place, can you guess why you became a target of bullying?
List as many reasons as you can think of. (1-5)

24. Have you ever bullied someone else?
Yes No

IF YOU ANSWERED "YES" TO QUESTION 24, PLEASE CONTINUE.
IF YOU ANSWERED "NO," PLEASE SKIP TO QUESTION 32.

25. What was the worst type of bullying you did?
Threatening language Revealing secrets
Physical violence Forced purchases
Sexual harassment Demands for money or posessions
Shunning or ignoring Threats with weapons
Hiding or damaging belongings Criticism, malicious gossip
Other:

26. How old were you when this took place?
No 7th-9th grade
Yes, in 10th-12th grade
1st-3rd grade College
4th-6th grade Not sure

27. Whom did you bully?
Parent(s) Teacher(s)
Sibling(s) Classmate(s)
Other:

28. Was your target
Person(s) of your same sex?
Person(s) of the opposite sex?
Both?

29. How did the worst bullying make you feel?
I felt very ashamed. I felt good.
I felt slightly ashamed. I felt really good.
I didn't feel much of anything.
Other:
-
30. When the worst bullying took place, were you aware that what you did was bullying or did you think you were just teasing? Pick the one number which fits the best.
1 Teasing 100% 2 3 Some of both 50/50 4 5 Bullying 100%

31. When the worst bullying took place, why did you choose that person to bully?
List as many reasons as you can think of. (1-5)
IN CONCLUSION

32. What do you think about yourself? Give as many words, phrases, or sentences that describe you as a family member, student, and/or friend. (1-5)

Many thanks for completing and returning this questionnaire.